A Case of Open Reduction and Internal Fixation Using Kirschner Wire and Wire Cerclage for Four-Part Fracture-Dislocation of the Proximal Humerus

Open Reduction Internal Fixation Four-part Proximal Humerus Fractures

Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation

At Bunbury Regional Hospital, we recently saw a case where Kirschner wires (K-wires), used during open reduction and internal fixation of olecranon, were propelled down the intramedullary canal intraoperatively. The K-wire was only secured unicortically. From our experience, we have developed steps to prevent this complication. First, where the wires are being used as part of a tension band wir...

Kirschner Wire Fixation of Neglected Lateral Condylar Fracture of the Humerus in Children

Background: Delayed presentation of lateral condylar fractures of the humerus is relatively common in the developing regions of the world. Fractures of lateral condyle of humerus in pediatric age group, the most common being distal humerus epiphyseal injury, are commonly associated with delayed presentation to terminal health care providers. Materials and Methods: Twenty-one children having fra...

Treatment of anterior fracture-dislocations of the proximal humerus by open reduction and internal fixation.

Over a seven-year period we treated a consecutive series of 58 patients, 20 men and 38 women with a mean age of 66 years (21 to 87) who had an acute complex anterior fracture-dislocation of the proximal humerus. Two patterns of injury are proposed for study based upon a prospective assessment of the pattern of soft-tissue and bony injury and the degree of devascularisation of the humeral head. ...

Open reduction internal fixation of proximal humerus fractures.

The treatment of proximal humerus fractures continues to evolve. While the many of these injuries can be managed nonoperatively, a certain percentage require operative treatment. Open reduction internal fixation can offer excellent outcomes when performed in the appropriate patient and utilizing proper techniques. This article reviews the most up-to-date literature regarding all phases of proxi...