Radiological and Functional Outcomes of Joshi External Stabilization System (JESS) in Proximal Humerus Fractures: A Retrospective Review.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Indian Journal of Orthopaedics Pub Date : 2025-04-13 eCollection Date: 2025-05-01 DOI:10.1007/s43465-025-01374-w

Siddhartha Sinha, Sandeep Kumar, Arvind Kumar, Neel Aggarwal, Saket Bandil, Owais A Qureshi, Javed Jameel

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引用次数: 0

Abstract

Introduction: There has been an increased interest in the external and percutaneous fixation of proximal humerus fractures. Numerous advantages of external fixation like less blood loss, ease of application, and rigid fixation provide a promising new avenue for the management of humeral fractures. This retrospective case series aims to assess the radiological and functional outcome of proximal humerus fractures treated with the Joshi External Stabilization system (JESS).

Materials and methods: A retrospective review of records was performed using hospital records from January 2020 to January 2024. The records of patients more than 18 years of age with proximal humerus fractures who were operated with the JESS fixator were reviewed and a proforma based on each follow-up was filled by the investigators.

Results: A total of 28 patients met the inclusion criteria with an average age of 65.17 ± 13.1 years. Neers type 3 injuries were most common (38.3%, n = 11). All fractures united on 6-week follow-up. 75% (n = 21) reported good 25% (n = 7) excellent Constant scores at 24 weeks. The overall complication rate was 28.6%. Common complications were superficial pin tract infections and fixator loosening.

Conclusion: The JESS is an acceptable treatment option for orthopaedic surgeons for the fixation of proximal humeral fractures, especially in geriatric patients. Like other external fixation devices, pin tract infection and pin loosening are inherent to the system.

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Joshi外固定系统（JESS）治疗肱骨近端骨折的放射学和功能效果：回顾性回顾。

导读：肱骨近端骨折的外固定术和经皮固定术越来越受到关注。外固定物失血少、应用方便、刚性固定等诸多优点为肱骨骨折的治疗提供了一条有前景的新途径。本回顾性病例系列旨在评估Joshi外固定系统（JESS）治疗肱骨近端骨折的放射学和功能结果。材料和方法：对2020年1月至2024年1月的医院记录进行回顾性分析。研究人员回顾了18岁以上肱骨近端骨折患者使用JESS固定器手术的记录，并填写了基于每次随访的形式表。结果：符合纳入标准的患者28例，平均年龄65.17±13.1岁。Neers 3型损伤最常见（38.3%,n = 11）。所有骨折在随访6周后愈合。24周时，75% （n = 21）报告良好，25% （n = 7）报告良好。总并发症发生率为28.6%。常见的并发症是浅表针道感染和固定架松动。结论：JESS是骨科医生固定肱骨近端骨折的一种可接受的治疗选择，特别是在老年患者中。像其他外固定装置一样，针道感染和针松动是系统固有的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Orthopaedics ORTHOPEDICS-

CiteScore

1.80

自引率

0.00%

发文量

185

审稿时长

9 months

期刊介绍： IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.