Flexible intramedullary pins in the treatment of unstable proximal humeral fractures.

Zifko, B; Poigenfürst, J; Pezzei, C; Stockley, I · Injury · 1991

case_series · Level IV

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Abstract

A series of 35 proximal humeral fractures treated with flexible intramedullary pins between 1986 and 1988 are presented. Special design features of the pins include a proximal 15 degrees angulated 20 mm tip and a 20 mm curve distally. The method is suitable for fractures in the surgical neck with displacement of bone width (AO-type A2/2). In cases of fracture-dislocation or three- or four-part fractures it is only suitable when the fragments can be reduced satisfactorily. Complications are minimal with 95 per cent bone union.

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