Modified Percutaneous Kirschner Wire with Mutual Linking Technique in Proximal Humeral Fracture: A Technique Note and Preliminary Results
Background: Treating proximal humeral fracture (PHF) with percutaneous pinning is a relatively minimally invasive procedure, but complications including pin migration and loss of reduction have been reported. Objectives: We aimed to describe a novel modified percutaneous pinning with mutual linking...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-09-01
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| Series: | Formosan Journal of Musculoskeletal Disorders |
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| Online Access: | https://journals.lww.com/10.4103/FJMD.FJMD_297 |
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| author | Hao-Ming Chang Pei-Yuan Lee Wei-Ren Su Cheng-Li Lin |
| author_facet | Hao-Ming Chang Pei-Yuan Lee Wei-Ren Su Cheng-Li Lin |
| author_sort | Hao-Ming Chang |
| collection | DOAJ |
| description | Background:
Treating proximal humeral fracture (PHF) with percutaneous pinning is a relatively minimally invasive procedure, but complications including pin migration and loss of reduction have been reported.
Objectives:
We aimed to describe a novel modified percutaneous pinning with mutual linking technique (MPPMLT) for PHFs, which may decrease such complications.
Materials and Methods:
Six patients with PHFs received close reduction and MPPMLT. All wires were removed about 6 weeks postoperatively followed by progressive rehabilitation. We used the following radiograph to evaluate bony union, wire migration, and fragment displacement. Clinical outcomes were evaluated using range of motion of affected joint, Visual Analog Score (VAS), University of California at Los Angeles Shoulder Rating Score (UCLA), and the American Shoulder and Elbow Surgeons Shoulder Score (ASES).
Results:
All cases were followed up after an average of 12.6 months. The mean of anterior forward flexion of the injured shoulder was 166.7° at the final follow-up. The means of the VAS, UCLA score, and ASES were 0.3, 31.8, and 92.4, respectively. No wire migrations or fracture displacements were noted in our cases. There were also no deep infection, nonunion, implant failure, or avascular necrosis of the humeral head observed during the follow-ups.
Conclusions:
With this MPPMLT, minimally invasive approach could be achieved and additional stability was provided by mutually linking the wires to reduce pin migration and fracture displacement in PHFs. |
| format | Article |
| id | doaj-art-5bec3b442eae4e81b6e42032b1675d3e |
| institution | OA Journals |
| issn | 2210-7940 2210-7959 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Formosan Journal of Musculoskeletal Disorders |
| spelling | doaj-art-5bec3b442eae4e81b6e42032b1675d3e2025-08-20T02:16:18ZengWolters Kluwer Medknow PublicationsFormosan Journal of Musculoskeletal Disorders2210-79402210-79592022-09-0113417317710.4103/FJMD.FJMD_297Modified Percutaneous Kirschner Wire with Mutual Linking Technique in Proximal Humeral Fracture: A Technique Note and Preliminary ResultsHao-Ming ChangPei-Yuan LeeWei-Ren SuCheng-Li LinBackground: Treating proximal humeral fracture (PHF) with percutaneous pinning is a relatively minimally invasive procedure, but complications including pin migration and loss of reduction have been reported. Objectives: We aimed to describe a novel modified percutaneous pinning with mutual linking technique (MPPMLT) for PHFs, which may decrease such complications. Materials and Methods: Six patients with PHFs received close reduction and MPPMLT. All wires were removed about 6 weeks postoperatively followed by progressive rehabilitation. We used the following radiograph to evaluate bony union, wire migration, and fragment displacement. Clinical outcomes were evaluated using range of motion of affected joint, Visual Analog Score (VAS), University of California at Los Angeles Shoulder Rating Score (UCLA), and the American Shoulder and Elbow Surgeons Shoulder Score (ASES). Results: All cases were followed up after an average of 12.6 months. The mean of anterior forward flexion of the injured shoulder was 166.7° at the final follow-up. The means of the VAS, UCLA score, and ASES were 0.3, 31.8, and 92.4, respectively. No wire migrations or fracture displacements were noted in our cases. There were also no deep infection, nonunion, implant failure, or avascular necrosis of the humeral head observed during the follow-ups. Conclusions: With this MPPMLT, minimally invasive approach could be achieved and additional stability was provided by mutually linking the wires to reduce pin migration and fracture displacement in PHFs.https://journals.lww.com/10.4103/FJMD.FJMD_297kirschner wireproximal humerus fracturemutual linking |
| spellingShingle | Hao-Ming Chang Pei-Yuan Lee Wei-Ren Su Cheng-Li Lin Modified Percutaneous Kirschner Wire with Mutual Linking Technique in Proximal Humeral Fracture: A Technique Note and Preliminary Results Formosan Journal of Musculoskeletal Disorders kirschner wire proximal humerus fracture mutual linking |
| title | Modified Percutaneous Kirschner Wire with Mutual Linking Technique in Proximal Humeral Fracture: A Technique Note and Preliminary Results |
| title_full | Modified Percutaneous Kirschner Wire with Mutual Linking Technique in Proximal Humeral Fracture: A Technique Note and Preliminary Results |
| title_fullStr | Modified Percutaneous Kirschner Wire with Mutual Linking Technique in Proximal Humeral Fracture: A Technique Note and Preliminary Results |
| title_full_unstemmed | Modified Percutaneous Kirschner Wire with Mutual Linking Technique in Proximal Humeral Fracture: A Technique Note and Preliminary Results |
| title_short | Modified Percutaneous Kirschner Wire with Mutual Linking Technique in Proximal Humeral Fracture: A Technique Note and Preliminary Results |
| title_sort | modified percutaneous kirschner wire with mutual linking technique in proximal humeral fracture a technique note and preliminary results |
| topic | kirschner wire proximal humerus fracture mutual linking |
| url | https://journals.lww.com/10.4103/FJMD.FJMD_297 |
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