Closed Reduction Internal Fixation with Titanium Elastic Nailing System for a Proximal Humerus Shaft Comminuted and...

Area of Science:

• Orthopedic Surgery
• Traumatology
• Minimally Invasive Procedures

Background:

• Segmental proximal humeral shaft fractures are rare and difficult to manage, especially in elderly patients with osteoporosis and comorbidities.
• Traditional open fixation methods pose risks like soft tissue complications and delayed recovery.

Purpose of the Study:

• To evaluate the safety and efficacy of Closed Reduction and Internal Fixation (CRIF) using a Titanium Elastic Nailing System (TENS) for segmental proximal humeral shaft fractures in a patient with multiple comorbidities.

Main Methods:

• A 72-year-old female with diabetes, hypertension, and coronary artery disease underwent CRIF with TENS under regional anesthesia for a segmental proximal humeral shaft fracture.
• Two elastic nails were inserted via medial and lateral entry points under C-arm guidance.

Main Results:

• The procedure achieved stable fixation with minimal blood loss and soft tissue disruption.
• The patient experienced an uneventful postoperative period, early physiotherapy initiation, and functional recovery.
• Follow-up showed progressive callus formation, satisfactory cosmetic results, and good range of motion without major complications.

Conclusions:

• CRIF with TENS is a viable, minimally invasive option for complex proximal humeral shaft fractures in elderly patients with comorbidities.
• This technique offers reduced surgical morbidity, facilitates early rehabilitation, and improves cosmetic outcomes.