Abstract: Background: Proximal humeral fractures are responsible for approximately five percent of all the fractures. It is difficult to attain a good anatomical reduction by closed reduction and may lead to possible complication of developing pseudoarthrosis at a very alarming rate.
Aims and objectives: 1. To study the functional outcome of displaced and unstable proximal humerus fractures treated with closed reduction with multiple percutaneous k wire fixation.
2. To evaluate the complications of this modality.
Materials and Methods: The study is a prospective observational study. 33 patients with displaced and unstable proximal humerus fractures in elderly >55 years with closed proximal humerus fractures and medically fit for surgery were included in the study. After operation, the outcome of this modality was assessed by applying Constant Shoulder Scoring System.
Results: In most of the patients, flexion was 80 to 110 degrees, and abduction was 80 to 120 degrees. ER and IR points in most of the patients was more than 6 degrees. Most of the patients were having VAS scale 6-10 was seen in 14 cases (51.85%) followed by VAS score of 0-5 was seen in 10 cases (37.03%) and VAS score of 11-15 was seen in 3 cases 11.11%). Most of the cases, 10 (37.03%) cases were showing excellent results (Score 86-100). Pin track infection was seen in 3 (6.25%) cases and k wire migration 2 cases (9.38%)
Conclusion: Multiple percutaneous k wire fixation is good option in an unstable and displaced proximal humerus fracture.
