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Three point fixation of pediatric proximal humerus fractures by prebent wave-shaped wires: technical notes

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Pediatric proximal humerus fractures are uncommon and mostly treated conservatively. However, surgical treatment should be considered in displaced fractures classified as Neer–Horowitz grade III–IV in children older than 11 years. We describe a three-point fixation method of applying two Kirschner wires, prebent into a wave shape, and inserted into the proximal humerus through a single cortical hole. In this minimally invasive approach, we treated four boys, obtaining accurate reduction and stable fixation, with all patients starting pendulous exercises the day after surgery. At follow-up, all patients had regained full shoulder range of motion, with no residual pain and no complications recorded.
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Keywords: minimal invasive; palm tree technique; proximal humerus fracture; wire fixation

Document Type: Research Article

Affiliations: Division of Orthopedic Surgery, Rambam Health Care Campus, Haifa, Israel

Publication date: January 1, 2017

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