Plate osteosynthesis for proximal humerus fractures through a deltoid-split approach under traction in lateral decubitus position: preliminary results

Authors : Ahmet Emin OKUTAN

Pages : 1747-1751

Doi:10.32322/jhsm.1166982

View : 14 | Download : 7

Publication Date : 2022-10-25

Article Type : Research Paper

Abstract :Aim: We aimed to present deltoid split approach under traction in lateral decubitus position that we perform for the treatment of proximal humerus fractures insert ignore into journalissuearticles values(PHFs); and to present the preliminary surgical and clinical outcomes of our patients. Material and Method: Twelve patients who underwent plate osteosynthesis through a deltoid split approach under traction in lateral decubitus position between May 2019 and January 2021 were evaluated. Patient demographics, Neer classification, and time from injury to surgery were collected in all patients preoperatively. Radiation exposure time and operating time was recorded intraoperatively. Radiological outcomes were assessed, including time to union, and neck-shaft angle. Functional outcomes were evaluated using the Constant score at the minimum 12-month follow-up. Results: Twelve patients insert ignore into journalissuearticles values(5 male, 7 female); were evaluated with a mean age 58.6±10.7 years insert ignore into journalissuearticles values(range, 32 to 72 years); at the time of surgery. The mean follow-up period was 117.4±3.8 months);. The mean operation time was 60.7±15.2 min insert ignore into journalissuearticles values(range, 44 to 92 min);. The mean radiation exposure time was 6.1±3.0 s insert ignore into journalissuearticles values(range, 3.3 to 14.2 s);. Fracture union was observed in all patients at mean 14.6±2.5 weeks insert ignore into journalissuearticles values(range, 8 to 20 weeks);. The mean neck-shaft angle after the union was 134.5±3.4 degrees insert ignore into journalissuearticles values(range, 124 to 143 degrees);. The mean Constant score was at the final follow-up was 76.4±8.7 insert ignore into journalissuearticles values(range, 63 to 90);. Conclusion: Patient positioning in the lateral decubitus position under traction can be considered as a safe, reliable, and reproducible method in selected patients with PHFs.
Keywords : Proximal humerus fracture, fixation, traction, lateral decubitus