An Anterosuperior Deltoid Splitting Approach for Plate Fixation of Proximal Humeral Fractures
Clinics in Shoulder and Elbow
;
: 2-7, 2015.
Article
in English
| WPRIM
| ID: wpr-37893
ABSTRACT
BACKGROUND:
The purpose of this study was to evaluate the usefulness and safety of the anterosuperior deltoid splitting approach for fixation of displaced proximal humeral fractures by analyzing the surgical outcomes.METHODS:
Twenty-three patients who could be followed-up for at least 8 months after the treatment of displaced proximal humeral fractures through the anterosuperior deltoid splitting approach were enrolled. We evaluated the reduction of the fractures and surgery-related complications at the last follow-up using X-ray results and clinical outcomes comprising the University of California at Los Angeles (UCLA) scoring system and the Korean Shoulder Society (KSS) score.RESULTS:
At the last follow-up of patients treated using the anterosuperior deltoid splitting approach for internal fixation of proximal humeral fractures, we found 22 cases (95.6%) of bone union, a mean UCLA score of 28.3 (range, 15 to 34) and a mean KSS score of 82.1 (range, 67 to 95). Various surgery-related complications were noted; a case of varus malunion after fracture displacement, a case of nonunion, a case of delayed union, two cases of impingement, and a case of partial axillary nerve injury, which recovered completely through the follow-up.CONCLUSIONS:
Plate fixation using the anterosuperior deltoid splitting approach could be another reliable option for treating displaced proximal humeral fractures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Shoulder
/
Shoulder Fractures
/
California
/
Follow-Up Studies
/
Humerus
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Clinics in Shoulder and Elbow
Year:
2015
Type:
Article
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