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Journals / Journal of Health Sciences and Medicine / 2023 / Cilt: 6 - Sayı: 1

Functional results of deltoid split minimally invasive osteosynthesis for neer type 3 proximal humerus fractures

Taner BEKMEZCİ
Serdar Kamil ÇEPNİ
Suat BATAR
Ali ŞİŞMAN
Pages
134–139
Publication Date
2023-01-12
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition, in order to prevent a significant varus collapse and angular loss, the fracture subgroups should be studied in detail and additional measures should be taken based on the fracture type.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: We aimed to evaluate the short-term functional and radiological outcomes of the minimally invasive fixation of three-part proximal humerus fractures without using calcar screws.
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Key Findings & Data:Results: The mean follow-up time were 22.7 months.
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Conclusion & Impact:In addition, in order to prevent a significant varus collapse and angular loss, the fracture subgroups should be studied in detail and additional measures should be taken based on the fracture type.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Calcar screw · deltoid split · MIPO

Abstract

Aim: We aimed to evaluate the short-term functional and radiological outcomes of the minimally invasive fixation of three-part proximal humerus fractures without using calcar screws. Material and Method: Twenty patients were treated with the minimally invasive approach using locking plate-screws. The relationship between the cephalo-diaphyseal angles and the functional outcomes were evaluated. Results: The mean follow-up time were 22.7 months. The mean Constant-Murley score of the patients was 83.7. The modified Constant-Murley score was excellent in 16 and good in four patients. A statistically significant difference was detected between cephalo-diaphyseal angles. Conclusion: Osteosynthesis with minimally invasive plate-screw and deltoid splitting application is encouraging with its satisfactory results in three-part fractures of the humerus; however, the total complication rate of 35% should not be ignored. In addition, in order to prevent a significant varus collapse and angular loss, the fracture subgroups should be studied in detail and additional measures should be taken based on the fracture type.

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Cite This Article

BEKMEZCİ, T., ÇEPNİ, S. K., BATAR, S., ŞİŞMAN, A. (2023). Functional results of deltoid split minimally invasive osteosynthesis for neer type 3 proximal humerus fractures. Journal of Health Sciences and Medicine, Cilt: 6 - Sayı: 1, 134–139. https://ajindex.com/articles/876389

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References (10)

  1. Hinds RM, Garner MR, Tran WH, Lazaro LE, Dines JS, Lorich DG. Geriatric proximal humeral fracture patients show similar clinical outcomes to non-geriatric patients after osteosynthesis with endosteal fibular strut allograft augmentation. J Shoulder Elbow Surg 2015; 24: 889-96.
  2. Gardner MJ, Voos JE, Wanich T, Helfet DL, Lorich DG. Vascular implications of minimally invasive plating of proximal humerus fractures. J Orthop Trauma 2006; 20: 602-7.
  3. Edwards SL, Wilson NA, Zhang LQ, Flores S, Merk BR. Two-part surgical neck fractures of the proximal part of the humerus. A biomechanical evaluation of two fixation techniques. J Bone Joint Surg Am 2006; 88: 2258-64.
  4. Seide K, Triebe J, Faschingbauer M, et al. Locked vs. unlocked plate osteosynthesis of the proximal humerus - a biomechanical study. Clin Biomechanics (Bristol, Avon) 2007; 22: 176-82.
  5. Sproul RC, Iyengar JJ, Devcic Z, Feeley BT. A systematic review of locking plate fixation of proximal humerus fractures. Injury 2011; 42: 408-13.
  6. Sohn HS, Shin SJ. Minimally invasive plate osteosynthesis for proximal humeral fractures: clinical and radiologic outcomes according to fracture type. J Shoulder Elbow Surg 2014; 23: 1334-40.
  7. Kim SH, Lee YH, Chung SW, et al. Outcomes for four-part proximal humerus fractures treated with a locking compression plate and an autologous iliac bone impaction graft. Injury 2012; 43: 1724-31.
  8. Osterhoff G, Ossendorf C, Wanner GA, Simmen HP, Werner CM. The calcar screw in angular stable plate fixation of proximal humeral fractures--a case study. J Orthop Surg Res 2011; 6: 50. Yang P, Zhang Y, Liu J, Xiao J, Ma LM, Zhu CR. Biomechanical effect of medial cortical support and medial screw support on locking plate fixation in proximal humeral fractures with a medial gap: a finite element analysis. Acta Orthopaedica et Traumatologica Turcica 2015; 49: 203-9.
  9. Lin T, Xiao B, Ma X, Fu D, Yang S. Minimally invasive plate osteosynthesis with a locking compression plate is superior to open reduction and internal fixation in the management of the proximal humerus fractures. BMC Musculoskeletal Disorders 2014; 15: 206. Liu K, Liu PC, Liu R, Wu X. Advantage of minimally invasive lateral approach relative to conventional deltopectoral approach for treatment of proximal humerus fractures. Medical science monitor: international medical journal of experimental and clinical research 2015; 21: 496-504.
  10. Altman GT, Gallo RA, Molinero KG, Muffly MT, Mascarenhas L. Minimally invasive plate osteosynthesis for prox