EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57

Abstract

COMPARATIVE STUDY BETWEEN TRADITIONAL PERCUTANEOUS PINNING AND AUGMENTED BY EXTERNAL FIXATOR FOR MANAGEMENT OF UNSTABLE PROXIMAL HUMERAL FRACTURES

*Mohamed Abdel Aziz Hassan

ABSTRACT

Background: Fracture of the proximal humerus is a common and debilitating injury occurring mainly in elderly and osteoporotic people and accounts for 4‑5% of all adult fractures. Many treatment options are available like conservative treatment, internal fixation, joint replacement and percutaneous fixation. Objective: This is a comparative study between traditional percutaeneus pinning (TPP) and minimally invasive reduction and osteosynthesis system (MIROS) for management of proximal humeral fractures in elderly patients with high operative risk factors. Patients and methods: this prospective study was conducted on 20 patients (n=20) having proximal humeral fractures treated by closed reduction and traditional percutaneous pinning (TPP) in one group (A) versus percutaneous pinning augmented by external fixator (MIROS) in second group (B). Results: Average constant score was 76.45 (range 55- 90) and 88.54 (range 84-95) in groups (A) and (B) respectively. On comparison of these two groups with T- test there is a significant difference with p<0.005 suggestive of significant good results in (B) group. Conclusion: Percutaneous pinning is a good treatment option in high operative risk patients and adding an external fixation to that helps in maintaining valgus of the head, preventing pin migration, pin back out, pin loosening and minimizes the complications of percutaneous pinning alone even in osteoporotic patients.

Keywords: proximal humeral fractures, traditional percutaneous pinning, MIROS.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia