Three point fixation of pediatric proximal humerus fractures by prebent wave-shaped wires: technical notes. Issue 1 (January 2017)

• Record Type: Journal Article
• Authors: Stahl, Ido; Eidelman, Mark
• Is Part Of: Journal of pediatric orthopedics. Volume 26:Issue 1(2017)
• Publication Date: 2017-01
• Subjects: minimal invasive -- palm tree technique -- proximal humerus fracture -- wire fixation; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000359
• Languages: English
• ISSNs: 1060-152X

Abstract

Abstract : Pediatric proximal humerus fractures are uncommon and mostly treated conservatively. However, surgical treatment should be considered in displaced fractures classified as Neer–Horowitz grade III–IV in children older than 11 years. We describe a three-point fixation method of applying two Kirschner wires, prebent into a wave shape, and inserted into the proximal humerus through a single cortical hole. In this minimally invasive approach, we treated four boys, obtaining accurate reduction and stable fixation, with all patients starting pendulous exercises the day after surgery. At follow-up, all patients had regained full shoulder range of motion, with no residual pain and no complications recorded.