6-Pin Technique Joshi External Stabilization System Fixation for Proximal Humerus Fractures - A Case Series.
6-pin technique
JESS
case series
minimally invasive
proximal humerus fractures
Journal
Journal of orthopaedic case reports
ISSN: 2250-0685
Titre abrégé: J Orthop Case Rep
Pays: India
ID NLM: 101641392
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
18
11
2022
revised:
20
12
2022
medline:
5
5
2023
pubmed:
5
5
2023
entrez:
5
5
2023
Statut:
ppublish
Résumé
Proximal humerus fractures account for 4-5% of the fractures in long bones with a bimodal distribution. A wide spectrum of options are available in its management ranging from conservative to total shoulder replacement. We aim to demonstrate a minimally invasive simple 6-pin technique in the management of proximal humerus fracture using Joshi external stabilization system (JESS). We report the results of ten patients (M: F = 4:6) with proximal humerus fractures of age range between 19 and 88 years managed with the 6-pin technique JESS under regional anesthesia. Of the included patients, 4, 3, and 3 cases belonged to Neer Type II, III, and IV, respectively. On analysis of outcomes based on the Constant-Murley score, we noted excellent outcomes and good outcomes in 6 (60%), and 4 (40%) patients, respectively, at 12 months. Fixator was removed after the radiological union between 8 and 12 weeks. Complications noted include pin tract infection in 1 (10%) and malunion in 1 (10%) case. JESS fixation by 6-pin technique remains a viable minimally invasive cost-effective treatment option in the management of proximal humerus fractures.
Identifiants
pubmed: 37144069
doi: 10.13107/jocr.2023.v13.i02.3560
pii: JOCR-13-65
pmc: PMC10152942
doi:
Types de publication
Case Reports
Langues
eng
Pagination
65-69Informations de copyright
Copyright: © Indian Orthopaedic Research Group.
Déclaration de conflit d'intérêts
Conflict of Interest: Nil
Références
J Bone Joint Surg Am. 2002 Nov;84(11):1919-25
pubmed: 12429749
Cochrane Database Syst Rev. 2003;(4):CD000434
pubmed: 14583921
Clin Orthop Relat Res. 2006 Jan;442:100-8
pubmed: 16394747
J Bone Joint Surg Br. 1997 May;79(3):412-7
pubmed: 9180319
J Bone Joint Surg Am. 2011 Jan 19;93(2):121-31
pubmed: 21248210
J Bone Joint Surg Am. 1970 Sep;52(6):1077-89
pubmed: 5455339
J Orthop Surg Res. 2020 Aug 24;15(1):347
pubmed: 32831119
Am J Epidemiol. 2004 Aug 15;160(4):360-7
pubmed: 15286021
Acta Orthop Scand. 2003 Oct;74(5):580-5
pubmed: 14620980
J Shoulder Elbow Surg. 2008 May-Jun;17(3):399-409
pubmed: 18282724
Indian J Orthop. 2012 Mar;46(2):216-20
pubmed: 22448062
Acta Orthop Scand. 2001 Aug;72(4):365-71
pubmed: 11580125
Cochrane Database Syst Rev. 2022 Jun 21;6:CD000434
pubmed: 35727196
Indian J Plast Surg. 2011 May;44(2):176-7
pubmed: 22022026
J Shoulder Elbow Surg. 2010 Jun;19(4):489-94
pubmed: 19995683
Clin Orthop Relat Res. 2013 Jan;471(1):39-43
pubmed: 22752734
Acta Orthop. 2006 Apr;77(2):275-8
pubmed: 16752290
J Bone Joint Surg Br. 2000 Nov;82(8):1107-12
pubmed: 11132267
Qual Life Res. 2018 Sep;27(9):2217-2226
pubmed: 29748823