English

Abstract

Proximal humerus fractures account for 4-5% of all fractures. Traditionally, the surgical treatment options for fractures of proximal humerus includes transosseous suture fixation, intramedullary nailing, plate-and-screw constructs and percutaneous pinning. The ideal treatment of displaced proximal humeral fracture is still the centre of scientific debate. The use of external fixators in the management of proximal humeral fractures has begun to gain acceptance over the last 10 years. The idea of biological fixation now leads to the fact that the blood supply to the head of the humerus is preserved. The smaller K-wires used in JESS have lesser risk of soft tissue, neural, and vascular injury. Multiple K-wires used add to the rotational stability to a reduced fracture. We hereby present our clinical experience in treating 18 such patients over a period of4 Years and 9 months by JESS. We used a novel frame structure as compared to those described elsewhere. The mean Constant – Murley score was 81 in our series. Overall, the results could be regarded as good. In our view, JESS should be considered as an alternative option in treating Neer’s 2 part, 3 part and 4 part valgus impacted fractures with minimal complications and good results.