@article{article_190441, title={Treatment of proximal humeral fractures with open reduction and internal fixation with Kirschner wires}, journal={Acta Orthopaedica et Traumatologica Turcica}, volume={35}, pages={10–15}, year={2006}, DOI={10.3944/aott.v35i1.1705}, author={Esenyel, Cem and Yesiltepe, Ridvan and Bulbul, Murat and Bagriacik, Adnan and Kara, Ayhan}, keywords={Bone wires;fracture fixation/methods;fracture fixation/methods;internal/methods;humeral fractures/surgery/radiography/ classification;shoulder dislocation/surgery;shoulder fractures/surgery}, abstract={Objectives: We evaluated the results of patients who were treated with open reduction and internal fixation for displaced proximal humeral fractures.
Methods: Sixteen patients (mean age 49.31 years, range 22 to 78 years) with displaced proximal humeral fractures were treated by open reduction and internal fixation with Kirschner wires. According to the Neer classification, three patients had type II, 11 patients had type III, and two patients had type IV fractures. The mean duration between trauma and surgery was 7.9 days. The results were evaluated using the Constant criteria. The mean follow-up was 28 months (range 12 to 49 months).
Results: According to the Constant scores, the results were excellent and good in eight patients (50%), fair in four patients (25%), and poor in four patients (25%). One patient required hemiarthroplasty because of pseudoarthrosis. One patient developed avascular necrosis of the humeral head. Minimal pin tract infections were encountered in three patients.
Conclusion: Successful outcome in the treatment of proximal humeral fractures depends on proper patient selection, appropriate surgical technique, and a well-supervised postoperative rehabilitation program.}, number={1}, publisher={Turkish Association of Orthopaedics and Traumatology}