Related Experiment Video
Updated: Jul 31, 2025
Adjustable Stiffness, External Fixator for the Rat Femur Osteotomy and Segmental Bone Defect Models
Published on: October 9, 2014
6-Pin Technique Joshi External Stabilization System Fixation for Proximal Humerus Fractures - A Case Series
Gopi Thambusamy1, Karuppasamy Subramanian1, Seran Mathialagan1
1Institute of Orthopaedics and Traumatology, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India.
Introduction:
Proximal humerus fractures account for 4-5% of the fractures in long bones with a bimodal distribution. A wide spectrum of options are available in its management ranging from conservative to total shoulder replacement. We aim to demonstrate a minimally invasive simple 6-pin technique in the management of proximal humerus fracture using Joshi external stabilization system (JESS).
Case Report:
We report the results of ten patients (M: F = 4:6) with proximal humerus fractures of age range between 19 and 88 years managed with the 6-pin technique JESS under regional anesthesia. Of the included patients, 4, 3, and 3 cases belonged to Neer Type II, III, and IV, respectively. On analysis of outcomes based on the Constant-Murley score, we noted excellent outcomes and good outcomes in 6 (60%), and 4 (40%) patients, respectively, at 12 months. Fixator was removed after the radiological union between 8 and 12 weeks. Complications noted include pin tract infection in 1 (10%) and malunion in 1 (10%) case.
Conclusion:
JESS fixation by 6-pin technique remains a viable minimally invasive cost-effective treatment option in the management of proximal humerus fractures.
More Related Videos
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
12:25C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
Published on: September 16, 2022
Related Concept Videos
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
01:19Bones of the Upper Limb: Humerus