Journal of Musculoskeletal Trauma

Closed Reduction and Percutaneous Pinning in Displaced Surgical Neck Fracture of the Proximal Humerus: Ju Hong Lee, Gyu Hyung Kim; J Korean Soc Fract 2000;13(2):406-413. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.406

Abstract PDF: PURPOSE
: to appreciate the effectiveness of th closed reduction and percutaneous pinning(CRPP) in reducible but unstable displaced surgical neck fracture of the humerus.
MATERIALS AND METHODS
: reviewed 30 patients(19 cases in CRPP and 11 cases in ORIF) with at least 1 year follow-up, comparing clinical union time, elapse time for surgery and clinical results using UCLA end-result scoring system in two froups and determining prognostic factors in CRPP.
RESULTS
: Clinical union was seen 8.4 weeks in CRPP and 11.2 weeks in ORIF. The difference between two groups in the clinical results was not significant. Lower UCLA score in CRPP correlated with the increment in age(p<0.05), but not with sex and metaphyseal comminution. Elapse time for surgery was taken average 38minutes in CRPP and average 95 minutes in ORIF. The postoperative complications in CRPP were 1 in nonunion, 4 in stiffness and 4 in pin loosening, most of them were occurred in female over sixty. SUMMARY : CRPP is a useful alternative and may be primarily applicable method in respect of comparable results to ORIF, minimal soft tissue damage and shorter surgical time. However, in cases of female with sixty or more, ORIF would be preferred because of poor bone quality, less compliant, and frequent joint stiffness.

Fracture-SeFaration Involving the Entire Distal Humeral Epiphysis in a Young Child(Salter-Harris type I injury): A Case Report: Jong Ho Jang, Seung Gyun Cha, Kyoung Hoon Kim, Jeon Oh Kang; J Korean Soc Fract 1996;9(3):674-677. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.674

Abstract PDF: Fracture-separation of the distal humeral epiphysis is a rare injury, frequently misdiagnosed as a fracture of the lateral humeral condyle, a supracondylar fracture of the humerus or a dislocation of the elbow. Roentgenographic evaluation reveals posteromedial displacement of the distal epiphysis. Single contrast arthrography is performed in order to confirm diagnosis. Treatment is first directed toward prompt recognition of the injury. A manipulative closed reduction is usually recommended. We experienced a case of fracture-separation involving the entire distal humeral physis treated by closed reduction and percutaneous pinning. The result was excellent.

Reduction and Percutaneous Pinning of Displaced Supracondylar Fracture of the Humerus in Children: Won Yoo Kim, Jin Young Kim, Kun Young Park, Chong Hoon Park, Hwa Sung Lee; J Korean Soc Fract 1994;7(2):471-479. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.471

Abstract PDF: Closed reduction and percutaneous pinning of displaced supracondylar fractures of the humerus in children yielded simple fracture management, less neurological and vascular complications, reduced hospitalization day and increased satisfactory out-comes. We treated twenty-seven cases of these fractures(extension type : twenty-five cases) by such a method. The accurate closed reduction of a supracondylar fracture could be obtained and confirmed by image intensifier. The maintanence of a reduction was stabilized by application of K-wires. Our study showed that the limitation of range of motion of the elbow joint was not signifiint(three cases, below ten degrees extension block and changes of carrying angle was also minimal three cases, below ten degrees). In twenty-seven cases, excellent results were recorded in 93% on at least on year follow-up.

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