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ORIGINAL ARTICLE
Year : 2013  |  Volume : 1  |  Issue : 2  |  Page : 33-36

Evaluation of percutaneous pinning in unstable proximal humeral fractures: A novel technique


1 Senior Research Associate All India Institute of Medical Sciences, New Delhi, India
2 Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India
3 Senior Resident Orthopaedics, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Nishikant Kumar
Senior Research Associate, Aiims, Sector 4-D, Quarter No. 1038, Bokaro Steel City, Jharkhand - 827 004
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2319-2585.125042

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Management of unstable proximal humeral fractures has remained controversial since ages. Open reduction and internal fixation have resulted in devastating complications like stiffness of shoulder joint, avascular necrosis, infection, etc., We are presenting a novel method of percutaneous pinning of unstable proximal humeral fractures. All cases (32) were done closely without soft tissue stripping. All cases were followed-up for a period of 3 years; and results were assessed according to 100 point constant score. A total of 75% cases showed excellent to good results. To minimize the complications like pin site infection, loosening, neurovascular damage we used fixed pin site insertion technique, and threaded pins in osteoporotic patients. So percutaneous pinning is a safe and novel method of management of unstable proximal humeral fractures if certain principles are borne in mind before using it.


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