Intermediate Outcomes Following Percutaneous Fixation of Proximal Humeral Fractures

Harrison AK, Gruson KI, Zmistowski B, et al (Mount Sinai School of Medicine, NY; Barnes-Jewish Hosp, St Louis, MO, Univ of Pennsylvania Health System, Philadelphia) J Bone Joint Surg Am 94:1223-1228, 2012^§

Abstract

Background

Mini-open reduction and percutaneous fixation of proximal humeral fractures historically results in good outcomes and a low prevalence of osteonecrosis reported with short-term follow-up. The purpose of this study was to determine the midterm results of our multicenter case series of proximal humeral fractures treated with percutaneous fixation.

Methods

Between 1999 and 2006, thirty-nine patients were treated with percutaneous reduction and fixation for proximal humeral fractures at three tertiary shoulder referral centers. Twenty-seven of these patients were available for intermediate follow-up at a minimum of three years (mean, eighty-four months; range, thirty-seven to 128 months) after surgery; the follow-up examination included use of subjective outcome measures and radiographic analysis to identify osteonecrosis and posttraumatic osteoarthritis on radiographs.

Results

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