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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2018 | Research article

Modified minimally invasive approach and intra-osseous portal for three-part proximal humeral fractures: a comparative study

Authors: Zhuo Zhang, Gongzi Zhang, Ye Peng, Xiang Wang, Hui Guo, Wei Zhang, Peifu Tang, Lihai Zhang

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2018

Abstract

Background

Proximal humeral fracture is a common fracture. Different approaches have been utilized in the surgical intervention of three-part fractures. Our study is to evaluate the clinical outcomes and effectiveness of a modified anterolateral approach and intra-osseous portal in minimally invasive treatment for three-part proximal humeral fractures in comparison to the traditional deltopectoral approach.

Methods

From March 2015 to September 2016, 13 patients with three-part proximal humeral fractures were treated with internal fixation through the modified anterolateral minimally invasive approach (MIPO). These cases were compared to 20 additional cases using the deltopectoral approach (DP). Clinical and radiographic evaluations were performed, including the constant score (CS) and range of motion in abduction, flexion/extension and external/internal rotation. Complications were recorded as well.

Results

All patients were followed up for a mean time of 12.12 ± 4.01 months. At the latest follow-up, no significant differences (p < 0.05) were observed in terms of length of stay, range of motion for abduction, flexion or internal/external rotation of the shoulder, Constant score or visual analog scors (VAS) for pain. Elbow flexion (142.31 ± 8.32 vs. 123.00 ± 10.18), posterior shoulder extension (41.92 ± 5.22 vs. 35.50 ± 5.83) and postoperative VAS (4.38 ± 1.04 vs. 6.15 ± 0.99) were significantly better in the MIPO group than in the DP group (p < 0.05). No significant differences were detected in the radiographic evaluation, and complications including axillary nerve injury were not present.

Conclusion

The use of the modified anterolateral approach and intra-osseous portal is safe and effective for minimally invasive reduction and plating treatment for three-part proximal humeral fractures.

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Title: Modified minimally invasive approach and intra-osseous portal for three-part proximal humeral fractures: a comparative study
Authors: Zhuo Zhang
Gongzi Zhang
Ye Peng
Xiang Wang
Hui Guo
Wei Zhang
Peifu Tang
Lihai Zhang
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2018
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-017-0701-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Modified minimally invasive approach and intra-osseous portal for three-part proximal humeral fractures: a comparative study

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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