Percutaneous Pinning of Fractures of the Surgical Neck of the Humerus in Children and Adolescents

Abstract

Background: Proximal humerus fractures occur in children of all ages, from newborn babies to teenagers, accounting for about 2% of all childhood fractures, with the highest occurrence among the ages of 11 and 15. Aim of the work: To review and evaluate the outcomes of operative procedure of surgical neck-humerus fractures in children and adolescents using closed reductions and percutaneous pinning. Patients and methods: 20 sufferers enrolled with Proximal Humeral Fracture Displaced in the Orthopedic Surgery Department of the AL Hussein Hospital of the Al-Azhar University Medical Faculty from January 2018 to September 2019 were involved in the current research. Closed reductions and percutaneous Kirscher wires (K-wires) have been used to treat the patients surgically. Ten patients treated with threaded K-wires and other patients with unthreaded K-wires. All patients were examined in the outpatient department using postoperative x-rays to assess healing time and the postoperative range of motion. Results: Regarding complications, group A, 10 (100.0%) of the patients had no complications. Group B 8 (80.0%) of the patients had no complications, 2 (20.0%) of the patients showed a pin-site infection and no malunion was found. Regarding the healing time, 4 (40.0%) of the patients healed in the 1st month and 6 (60.0) of the patients in the 2nd month in both groups. Conclusion: Proximal humeral fractures may be managed using percutaneous pinning, which provides effective reduction and adequate temporary stabilization. This treatment modality was not correlated with any significant complications, like deep infection, avascular necrosis, or neurovascular deficiency.