Closed K-wire method of proximal humerus fractures osteosynthesis

Abstract

Aim of the study: evaluation of the results of the surgical treatment by closed reduction, fixation with K-wires of fractures of proximal humerus in patients treated in IEM from Chisinau. Material and methods: during the period 2015-2016, 183 patients were examined and treated for fractures of the proximal humerus of different complexity levels. Out of the total number of patients, 50 (27,3%) patients underwent surgical treatment. Out of the total number of patients treated surgically, 13 patients were operated through the minimally invasive method with indirect reduction of the fracture and osteosynthesis with K-wires in closed fracture focus. The rest of the patients treated surgically 37 (20,2%) patients, underwent the open reduction, internal fixation through other methods described in specialty literature (ORIF). Results: the study group consisted of 13 (7,1%) patients. The average age was 59,53 years. Patients treated using minimally invasive method, the sex ratio being: women – 8 (61,5%) and men – 5 (38,5%) persons. Immediate results were appreciated according to postoperative radiological appearance, in 100% cases all the fractures united in axial alignment, it was appreciated as positive results. Follow-up results valued according to radiological appearance, full range motion of the traumatized shoulder joint in comparison with the contralateral (healthy) arm, and the quality of life: excellent and good in 10 (76,9%) cases, satisfactory – 2 (15,4%) cases and unsatisfactory – 1 (7,7%) case. It was determined the following complication – the inflammation around the K-wires in 3 cases. Conclusions: Osteosynthesis with K-wires in closed outbreak constitutes a favorable method for the surgical treatment of proximal humeral fractures. This method is characterized by reduced traumatologic trauma, minimal hemorrhage and minor risk of perioperative complications.