ArticleThe archives of bone and joint surgery2020
Operative Treatment of Proximal Humeral Fracture-dislocations Through an Anterolateral Deltoid Split Approach.
Article in The archives of bone and joint surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Impact of operative timing for proximal humerus fracture dislocations on development of neurologic injury.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Rehabilitation protocols in proximal humerus fracture management: A systematic review.Shoulder & elbow · 2024Review
- Proximal humerus fractures: deltopectoral open reduction and internal fixation vs deltosplit minimally invasive plate osteosynthesis: which surgical approach provides superior results?EFORT open reviews · 2023Article
- Shoulder arthroplasty for proximal humeral fracture treatment: a retrospective functional outcome analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Proximal humeral fracture-dislocation: Outcome analysis in osteosynthesis and arthroplasties.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
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Authors and funding
3 authors.
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Abstract
backgroundProximal humeral fracture-dislocations (PHFD) are a special entity in proximal humeral fracture treatment. The aim of this study is to present our minimally invasive plate osteosynthesis (MIPO) technique through an anterolateral deltoid split approach. In addition, we performed a retrospective cohort study analyzing the patient reported functional outcome and complications.
methodsA single center cohort study was performed. All patients operated through a deltoid split approach for PHFD between 2009 and 2016 were eligible for inclusion. The primary endpoint was subjective shoulder function measured with QuickDASH and subjective shoulder value (SSV). Secondary endpoints were complications and implant-related irritation.
results28 patients were included. The mean age was 49 (SD ± 10.3). The mean follow-up was 48 months (SD ± 23.7). The mean QuickDASH score was 6.8 (SD ±7.8) and the mean SSV was 86 (SD ±14.6). Four patients had a conversion into a reversed arthroplasty (14%), one patient (4%) a shortening of secondary perforated screws, four patients an early re-osteosynthesis (14%), four patients (14%) developed an AVN and in one patient damage of the axillary nerve was observed. 21 patients (75%) had their implant removed.
conclusionPatient reported functional results after humeral head preservation and internal fixation of PHFDs through an anterolateral deltoid spilt approach are promising. However, there is a high rate of re-operations either because of complications or for implant removal. Comparing our data to literature these rates are not depending on the approach chosen.
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