Proximal Humerus Fracture Fixation with Percutaneous Pinning Using Tension Arm Technique

Rajendra Prasad1, Rahul Raj2 and Umesh Prasad2

1Assistant Professor, Nalanda Medical College & Hospital, Patna

2Department of Orthopaedic, NMCH, Patna

*Correspondence to: Dr. Rajendra Prasad, Nalanda Medical College & Hospital, Patna, Bihar, India
Received: Aug 25, 2023; Accepted: Sep 04, 2023; Published: Sep 08, 2023
Citation: Prasad R, Raj R, Prasad U (2023) Proximal Humerus Fracture Fixation with Percutaneous Pinning Using Tension Arm Technique. J Anatomical Variation and Clinical Case Report 1:106. DOI:
Copyright: ©2023 Prasad R. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Introduction: Fracture of the proximal humerus are common in elderly (osteoporosed bone) and young (due to high energy trauma).Deciding between operative and non-operative treatment can be very difficult. Patients having proximal humerus fracture (5 elderly and 3 young) admitted in nmch, Patna and treated within 1 week. Fractures are either 2-part or 3-part neer’s classification.
Methodology: Image intensifier ,closed reduction followed by percutaneous  k-wires pinning Under with rigid construct formation externally using same k-wires and ss wires. No need of pop slab/cast application post-operative.
Result: Pendulum exercise started from next day .Post op x-ray assessment (3weeks-callus formed; 12 weeks-union).Full range of motion achieved after 12 weeks without pain.
Conclusion: Percutaneous k-wire pinning with rigid construct externally using ss-wires have the advantage of good functional outcome, avoiding further damage to the soft tissue envelop and blood supply to the humeral head, cost-effective ,short duration surgery ,can be done in comorbid patient, less chance of infection, decreased hospital stay and no obvious scars.

Keywords: Proximal humerus fracture; Neer’s classification; Percutaneous pinning; Functional outcome; Osteonecrosis of humeral head