Abstract
We have utilized intramedullary fixation with Kirschner wires for displaced proximal humeral fractures. Kirschner wires were curved slightly and inserted from the deltoid tuberosity to the humeral head. We evaluated the results of eight patients who underwent this treatment.
They included one male and seven females, with a mean age of 55 years (range 17-92 years). The follow up period ranged from 5 to 52 months, with a mean of 23 months. Results were evaluated according to Neer's criteria, and the clinical score for the shoulder function by the Japanese Orthopaedic Association (JOA score).
According to Neer's criteria six cases were excellent and two cases were satisfactory. The average JOA score was 93.1 points.
This treatment is low invasive and the patients can start exercising the shoulder soon after its completion. We concluded that intramedullary fixation with Kirschner wires is a good surgical procedure for displaced proximal humeral fractures.
