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VOLUME 7 , ISSUE 1 ( January-June, 2025 ) > List of Articles

CASE SERIES

Minimally Invasive J-nailing Technique for Treating Proximal Humerus Fractures in Elderly Patients: A Case Series

Abind Josephchandran, Dilip K Naidu, Gowthaman Nambiraj, Sabari Vaasan Lakshmikanthan, Rishab Chandraprakash

Keywords : Case series, Clinical outcomes, Elderly, J-nail, Older, Proximal humerus, Shoulder range of motion, University of California at Los Angeles

Citation Information : Josephchandran A, Naidu DK, Nambiraj G, Lakshmikanthan SV, Chandraprakash R. Minimally Invasive J-nailing Technique for Treating Proximal Humerus Fractures in Elderly Patients: A Case Series. J Orth Joint Surg 2025; 7 (1):98-103.

DOI: 10.5005/jojs-10079-1192

License: CC BY-NC 4.0

Published Online: 15-01-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Introduction: This prospective case series addresses the challenge posed by fractures of the proximal humerus in older adults due to challenging bone quality, focusing on the minimally invasive J-nailing technique for Neer's two-part and three-part type fractures of the proximal humerus. Materials and methods: The study lasted from April 2022 to May 2024, involved 14 patients, and assessed clinical and radiological outcomes. Precision in surgical procedures yielded positive postoperative results, including improved shoulder mobility. Correlation analyses showed no significant relationship between fracture types, union times, or University of California, Los Angeles (UCLA) scores. Outcome: While unique complications were observed, the overall positive outcomes support the efficacy of J-nailing in managing proximal humerus fractures in the elderly. This underscores the need for continued research and optimized surgical approaches. In conclusion, tailored surgical interventions, particularly J-nailing, are effective, highlighting the significance of personalized approaches for optimal outcomes in managing these fractures.

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