Optimal position of locking compression plate for proximal humeral fractures: choice of lateral deltoid splitting approach?

doi:10.3969/j.issn.2095-4344.2014.09.024

Abstract

Abstract:

BACKGROUND: Classical deltopectoral approach leads to a great injury to soft tissues. It is difficult to lay the steel plate on the lateral side. The steel plate is frequently laid on the anterolateral side of humerus. Fixed position is not ideal.
OBJECTIVE: To evaluate the safety and feasibility of lateral deltoid-splitting approach in treatment of proximal humeral fractures.
METHODS: From August 2008 to August 2013, 114 patients with fracture of surgical neck of humerus, who were treated in the Department of Orthopedics, Yan’an Hospital Affiliated to Kunming Medical University in China, were enrolled in this study. They were treated with locking compression plate, and assigned to deltoid splitting approach group and deltopectoral approach group (n=57). Surgical trauma, fracture healing, curative effects, functional recovery and Constant shoulder score were compared between the two groups.
RESULTS AND CONCLUSION: All patients were followed up for at least 8 months. Compared with the deltopectoral approach group, the proximal humeral fractures were healed as scheduled in the deltoid splitting approach group, and the anteflexion, abduction, shoulder lifting of the shoulder joint, and sensation of lateral skin of the upper arm were not impacted. No significant difference in Constant shoulder score was detectable between the two groups (P > 0.05), which suggested that deltoid splitting approach for treating the proximal humeral fractures was safe and feasible. In addition, in accordance with the Neer’s classification system, the excellent and good rate in the deltoid splitting approach group (91%) was significantly higher than that in the deltopectoral approach group (75%) (P < 0.05). Therefore, the deltoid splitting approach can be used as the first choice for the treatment of proximal humeral fractures.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: humeral fractures, internal fixators, blood loss, surgical, treatment outcome, recovery of function

CLC Number:

R318

Bai Li-cheng, Gu Shao, Xiong Ying, Liu Bai-lian, Zhao Feng, Wang Da-xing. Optimal position of locking compression plate for proximal humeral fractures: choice of lateral deltoid splitting approach?[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(9): 1453-1458.

Figures/Tables 5

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