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Surgical Approach of Open Reduction and Internal Fixation for Proximal Humeral Fracture in the Elderly

Received: 18 February 2020    Accepted: 3 March 2020    Published: 18 March 2020
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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.

Published in Journal of Surgery (Volume 8, Issue 2)
DOI 10.11648/j.js.20200802.13
Page(s) 56-61
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Surgical Approach, Proximal Humeral Fracture, Open Reduction, Internal Fixation

References
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Cite This Article
  • APA Style

    Liu Rui Jia, Meng Qing Qi, Li Si Ming. (2020). Surgical Approach of Open Reduction and Internal Fixation for Proximal Humeral Fracture in the Elderly. Journal of Surgery, 8(2), 56-61. https://doi.org/10.11648/j.js.20200802.13

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    ACS Style

    Liu Rui Jia; Meng Qing Qi; Li Si Ming. Surgical Approach of Open Reduction and Internal Fixation for Proximal Humeral Fracture in the Elderly. J. Surg. 2020, 8(2), 56-61. doi: 10.11648/j.js.20200802.13

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    AMA Style

    Liu Rui Jia, Meng Qing Qi, Li Si Ming. Surgical Approach of Open Reduction and Internal Fixation for Proximal Humeral Fracture in the Elderly. J Surg. 2020;8(2):56-61. doi: 10.11648/j.js.20200802.13

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  • @article{10.11648/j.js.20200802.13,
      author = {Liu Rui Jia and Meng Qing Qi and Li Si Ming},
      title = {Surgical Approach of Open Reduction and Internal Fixation for Proximal Humeral Fracture in the Elderly},
      journal = {Journal of Surgery},
      volume = {8},
      number = {2},
      pages = {56-61},
      doi = {10.11648/j.js.20200802.13},
      url = {https://doi.org/10.11648/j.js.20200802.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200802.13},
      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.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Surgical Approach of Open Reduction and Internal Fixation for Proximal Humeral Fracture in the Elderly
    AU  - Liu Rui Jia
    AU  - Meng Qing Qi
    AU  - Li Si Ming
    Y1  - 2020/03/18
    PY  - 2020
    N1  - https://doi.org/10.11648/j.js.20200802.13
    DO  - 10.11648/j.js.20200802.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 56
    EP  - 61
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20200802.13
    AB  - 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.
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Department of Orthopedics, Guangzhou Red Cross hospital, Medical College, Jinan University, Guangzhou, China

  • Department of Orthopedics, Guangzhou Red Cross hospital, Medical College, Jinan University, Guangzhou, China

  • Department of Orthopedics, Guangzhou Red Cross hospital, Medical College, Jinan University, Guangzhou, China

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