Closed reduction percutaneous pinning (CRPP) in proximal humerus fractures in adult: A prospective study of 36 cases

Abstract

Objectives: To evaluate the results of CRPP in different types and severity of proximal humerus fractures both clinically and radiologically.Methods: 40 patients with proximal humerus fracture were included in study, out of them 2 patients died and 2 were lost follow up 36 patients were considered for final evaluation. Out of them 22 male and 14 female patients aged 20 to 70 years (mean 46) treated with CRPP. Patients were assessed for six months radiological, clinically and functionally using Neer’s score and DASH score. Results: According to Neer’s classification fractures were classified into two part fracture (n=24), three part fractures (n=12). At 6 month follow up 19 had good results and 13 had fair and 04 poor results. Only 02 patients had pin tract infection and 02 had pin migration which was removed at 06 week when fracture had united. No patient developed nonunion, implant failure, avascular necrosis or reflex sympathetic dystrophy like complication. Conclusion: CRPP achieves favorable biological fixation for proximal humerus fractures with few complication. Even with osteoporotic bone no complication noted. The outcome primarily depends upon patient’s age, severity of the injury, bone quality and early post-injury intervention, good surgical technique and anatomical reduction, stable biological fixation and early postoperative mobilization.