Intramedullary Fixation with Curved Kirschner Wires for Hemodialized Patients Suffering from Fractures of the Proximal Humerus

Abstract

Six hemodialized patients suffering from fractures of the proximal humerus were treated surgically with intramedullary curved Kirschner wires. The average of patient age was 78 years (range: 68 to 90). One case was group 2 according to Neer's classification, and five cases were group 3. The method of anesthesia was brachial plexus block in five cases, and local anesthesia in one case with dementia. All patients achieved union of fractures and satisfactory results. This operative procedure, which has less surgical stress and provides sufficient stability for fractures of the proximal humerus, is considered to be very useful for patients with high risks of hemodialysis etc.