Results of the percutaneous pinning of proximal humerus XXXX with a modified palm tree technique.

@entity1 @entity174 @entity39 @entity6342 @entity717 @entity85 @entity531
PURPOSE: Many techniques are available for closed reduction and percutaneous fixation of @entity6342 . The palm tree technique was described by Kapandji in 1989. In that technique three curved wires are inserted through one hole at the V-shaped insertion of the deltoid muscle. It is a good technique but it has some disadvantages. In this study we introduced some modifications for the technique, and we evaluated the clinical results of the modified technique in treatment of 18 cases. METHODS: Eighteen @entity1 with displaced @entity6342 were treated by closed reduction and percutaneous fixation with the palm tree technique after minor modifications. The age of the @entity1 ranged from 38 to 75 years with an average of 56 years. Eleven were females and seven were males. The @entity174 were two-part in 13 cases and three-part @entity174 in five cases. RESULTS: The average time of healing was seven weeks. The follow-up period ranged from 14 months to 39 months with an average of 22 months. The Constant score ranged from 45 to 88 with a mean of 73. The results were satisfactory in 77% and unsatisfactory in 23% of the cases. The complications included pin tract infection in two cases, intraarticular wire migration in one case, @entity39 around the wires in three cases and malunion with @entity85 in one case. No cases were complicated by @entity531 , loss of fixation or avascular @entity39 of the humeral head. CONCLUSIONS: The palm tree technique is a good method for fixation of @entity6342 . It produces good grip in both of the proximal and distal fragments and allows for @entity717 . Our modifications allow for easy insertion of the wires, increase the stability of fixation and minimize the risk of complications.
