Volume 8, Issue 2, April 2020, Page: 56-61
Surgical Approach of Open Reduction and Internal Fixation for Proximal Humeral Fracture in the Elderly
Liu Rui Jia, Department of Orthopedics, Guangzhou Red Cross hospital, Medical College, Jinan University, Guangzhou, China
Meng Qing Qi, Department of Orthopedics, Guangzhou Red Cross hospital, Medical College, Jinan University, Guangzhou, China
Li Si Ming, Department of Orthopedics, Guangzhou Red Cross hospital, Medical College, Jinan University, Guangzhou, China
Received: Feb. 18, 2020;       Accepted: Mar. 3, 2020;       Published: Mar. 18, 2020
DOI: 10.11648/j.js.20200802.13      View  41      Downloads  107
Abstract
Background: The incidence of proximal humeral fracture is increasing gradually. Many patients choose open reduction and internal fixation. With the maturity of surgical technology and thought, people begin to think about the optimization of surgical effect from the surgical incision, including less trauma, less bleeding, less postoperative complications and fast postoperative recovery. However, due to the complexity of shoulder anatomy, scholars have created different surgical approaches from different perspectives. Objective: Although the effect of open reduction and internal fixation is confirmed, there are still some differences in the effect of different surgical approaches. We need to study the summary and research progress of surgical approach for proximal humeral fracture, which is conducive to the selection of the optimal approach for incision, so as to improve the prognosis. Method: Selective literature review. Result: At present, common surgical approaches include lateral approach, anteromedial approach, anterolateral approach, small incision approach and other approaches. This paper describes and compares the advantages and disadvantages of each approach, so as to choose the best approach for different fracture types. Conclusion: Based on the complexity of the anatomical relationship of the shoulder joint, the displacement, classification of the fracture, the proximal humerus are opened and exposed from different perspectives. Choosing a safe surgical approach is one of the key links of the whole operation and plays an important role in the postoperative effect. In this paper, the common approaches and new approaches of open reduction and internal fixation for proximal humeral fracture are reviewed, which provides new ideas for the design of surgical scheme.
Keywords
Surgical Approach, Proximal Humeral Fracture, Open Reduction, Internal Fixation
To cite this article
Liu Rui Jia, Meng Qing Qi, Li Si Ming, Surgical Approach of Open Reduction and Internal Fixation for Proximal Humeral Fracture in the Elderly, Journal of Surgery. Vol. 8, No. 2, 2020, pp. 56-61. doi: 10.11648/j.js.20200802.13
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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