What Should Be the Surgical Position Choice in A Patient Having Proximal Humeral Fracture with Developed Hypotension?

ALTINAYAK, Harun; Erel, Selin

doi:10.36959/453/576

Cited by 1 publication

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References 17 publications

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“…In addition, the described technique via deltoid-split approach might not be a solution for advanced PHF types such as head splitting or fracture dislocations. However, the deltopectoral approach can also be considered as an alternative option for these cases (24). The study has several limitations.…”

Section: Discussionmentioning

confidence: 94%

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

Okutan

2022

Journal of Health Sciences and Medicine

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Aim: We aimed to present deltoid split approach under traction in lateral decubitus position that we perform for the treatment of proximal humerus fractures (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 (5 male, 7 female) were evaluated with a mean age 58.6±10.7 years (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 (range, 44 to 92 min). The mean radiation exposure time was 6.1±3.0 s (range, 3.3 to 14.2 s). Fracture union was observed in all patients at mean 14.6±2.5 weeks (range, 8 to 20 weeks). The mean neck-shaft angle after the union was 134.5±3.4 degrees (range, 124 to 143 degrees). The mean Constant score was at the final follow-up was 76.4±8.7 (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.

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Section: Discussionmentioning

confidence: 94%

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

Okutan

2022

Journal of Health Sciences and Medicine

View full text Add to dashboard Cite

show abstract

What Should Be the Surgical Position Choice in A Patient Having Proximal Humeral Fracture with Developed Hypotension?

Cited by 1 publication

References 17 publications

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

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

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