Comparison of classical and minimally invasive superolateral approach for reconstruction of proximal humerus fractures with locking plates.
Injury
; 55 Suppl 1: 111405, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-39069348
ABSTRACT
CONTEXT Minimally invasive (MI) approaches are purported to present advantages for osteosynthesis when compared with conventional approaches. This study aimed to compare the medium-term clinical and radiological outcomes of patients with proximal humerus fractures treated by plate osteosynthesis with conventional and MI superolateral approaches. METHOD:
The study carried out was a retrospective monocentric comparative analysis. Forty-three cases were followed up - 18 were treated with an MI approach and 25 with a conventional approach. Constant-Murley, DASH and SSV scores were established and standard complications were investigated.RESULTS:
No significant differences in functional scores or complications were found between the 2 groups. The only significant difference was for pain which was significantly lower for the MI group. The overall revision rate was 18.3 %. The mean adjusted Constant-Murley for the entire population was 80.1 ± 20.2; the mean DASH score was 17.8 ± 15.9 and the mean SSV was 73.2 ± 19.5.CONCLUSION:
This study did not demonstrate any significant differences between the 2 approaches. Given the low patient population in our series, the superiority of the MI approach - as indicated in the literature - was not proven.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fraturas do Ombro
/
Placas Ósseas
/
Procedimentos Cirúrgicos Minimamente Invasivos
/
Fixação Interna de Fraturas
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Injury
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
França
País de publicação:
Holanda