Locked plating for proximal humeral fractures: Differences between the deltopectoral and deltoid-splitting approaches

Journal of Trauma - Injury, Infection and Critical Care

Volumn 71, Issue 5, 2011, Pages 1364-1370

  Wu, Chin Hsien ^a   Ma, Ching Hou ^a   Yeh, James Jih Hsi ^a   Yen, Cheng Yo ^a   Yu, Shang Won ^a   Tu, Yuan Kun ^a  

^a I SHOU UNIVERSITY   (Taiwan)

Author keywords

Deltoid splitting approach; Deltopectoral approach; Locking plates; Proximal humeral fractures

Indexed keywords

ADULT; AGED; ARTICLE; AVASCULAR NECROSIS; BONE PLATE; DELTOID MUSCLE; FEMALE; HUMAN; HUMERUS FRACTURE; INCISION; INTERMETHOD COMPARISON; LOCKING PROXIMAL HUMERUS PLATE; MAJOR CLINICAL STUDY; MALE; OSTEOSYNTHESIS; OUTCOME ASSESSMENT; PECTORAL MUSCLE; PRIORITY JOURNAL; SURGICAL APPROACH; SURGICAL TECHNIQUE; TREATMENT OUTCOME;

BONE PLATES; DISABILITY EVALUATION; ELECTROMYOGRAPHY; FEMALE; FRACTURE FIXATION, INTERNAL; FRACTURE HEALING; HUMANS; HUMERAL FRACTURES; MALE; MIDDLE AGED; MUSCLE, SKELETAL; RETROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 81455141450     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e31820d165d     Document Type: Article

References (47)

1. Benger U, Johnell O, Redlund-Johnell I. Changes in the incidence of fracture of the upper end of the humerus during a 30-year period: a study of 2125 fractures. Clin Orthop Relat Res. 1988;231:179-182.
2. Lind T, Kroner K, Jensen J. The epidemiology of fractures of the proximal humerus. Arch Orthop Trauma Surg. 1989;108:285-287. (Pubitemid 19200808)
3. Neer CS II. Displaced proximal humeral fractures. I. Classification and evaluation. J Bone Joint Surg Am. 1970;52:1077-1089.
4. Young TB, Wallace WA. Conservative treatment of fractures and fracture-dislocations of the upper end of the humerus. J Bone Joint Surg Br. 1985;67:373-377. (Pubitemid 15121901)
5. Neer CS II. Displaced proximal humeral fractures. II. Treatment of three-part and four-part displacement. J Bone Joint Surg Am. 1970;52: 1090-1103.
6. Mills HJ, Horne G. Fractures of the proximal humerus in adults. J Trauma. 1985;25:801-805. (Pubitemid 16252509)
7. Naranja RJ Jr, Iannotti JP. Displaced three-and four-part proximal humerus fractures: evaluation and management. J Am Acad Orthop Surg. 2000;8:373-382.
8. Wijgman AJ, Roolker W, Patt TW, Raaymakers EL, Marti RK. Open reduction and internal fixation of three and four-part fractures of the proximal part of the humerus. J Bone Joint Surg Am. 2002;84:1919-1925. (Pubitemid 35283353)
9. Ko JY, Yamamoto R. Surgical treatment of complex fractures of the proximal humerus. Clin Orthop Relat Res. 1996;327:225-237. (Pubitemid 26174178)
10. Cornell CN. Tension-band wire supplemented by lag-screw fixation of proximal humerus fractures: a modified technique. Orthop Rev. 1994(suppl);19-23. (Pubitemid 24177695)
11. Resch H, Povacz P, Fröhlich R, Wambacher M. Percutaneous fixation of three-and four-part fractures of the proximal humerus. J Bone Joint Surg Br. 1997;79:295-300.
12. Lin J. Effectiveness of locked nailing for displaced three-part proximal humeral fractures. J Trauma. 2006;61:363-374. (Pubitemid 44274829)
13. Robinson CM, Page RS, Hill RM, Sanders DL, Court-Brown CM, Wakefield AE. Primary hemiarthroplasty for treatment of proximal humeral fractures. J Bone Joint Surg Am. 2003;85:1215-1223.
14. Rajasekhar C, Ray PS, Bhamra MS. Fixation of proximal humeral fractures with Polarus nail. J Shoulder Elbow Surg. 2001;10:7-10. (Pubitemid 33601554)
15. Ruch DS, Glisson RR, Marr AW, Russell GB, Nunley JA. Fixation of three-part proximal humeral fractures: a biomechanical evaluation. J Orthop Trauma. 2000;14:36-40.
16. Szyszkowitz R, Seggl W, Schleifer P, Cundy PJ. Proximal humerus fractures: management techniques and expected results. Clin Orthop Relat Res. 1993;292:13-25. (Pubitemid 23206250)
17. Hente R, Kampshoff J, Kinner B, Füchtmeier B, Nerlich M. Treatment of dislocated 3-and 4-part fractures of the proximal humerus with an angle-stabilizing fixation plate. Unfallchirurg. 2004;107:769-782. (Pubitemid 39370219)
18. Faukhauser F, Boldin C, Schippinger G, Haunschmid C, Szyszkowitz R. A new locking plate for unstable fractures of the proximal humerus. Clin Orthop Relat Res. 2005;430:176-181. (Pubitemid 40096149)
19. Voigt C, Woltmann A, Partenheimer A, Lill H. Management of complications after angularly stable locking proximal humerus plate fixation. Chirurg. 2007;78:40-46.
20. Owsley KC, Gorczyca JT. Fracture displacement and screw cutout after open reduction and locked plate fixation of proximal humeral fractures. J Bone Joint Surg Am. 2008;90:233-240. (Pubitemid 351341032)
21. Gautier E, Sommer C. Guidelines for the clinical application of the LCP. Injury. 2003;34(suppl 2):B63-B76.
22. Gardner MJ, Griffith MH, Dines JS, Briggs SM, Weiland AJ, Lorich DG. The extended anterolateral acromial approach allows minimally invasive access to the proximal humerus. Clin Orthop Relat Res. 2005; 434:123-129. (Pubitemid 40617505)
23. Müller ME, Nazarian S, Koch P. The Comprehensive Classification of Fractures of Long Bones. New York: Springer; 1990.
24. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;214:160-164. (Pubitemid 17019681)
25. Beaton DE, Wright JG, Katz JN; Upper Extremity Collaborative Group. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005;87:1038-1046. (Pubitemid 40617572)
26. Hertel R, Knothe U, Ballmer FT. Geometry of the proximal humerus and implications for prosthetic design. J Shoulder Elbow Surg. 2002;11:331-338. (Pubitemid 36904226)
27. Hertel R, Hempfing A, Stiehler M, Leunig M. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elbow Surg. 2004;13:427-433. (Pubitemid 38844112)
28. Bellabarba C, Ricci WM, Bolhofner BR. Results of indirect reduction and plating of femoral shaft nonunion after intramedullary nailing. J Orthop Trauma. 2001;15:254-263. (Pubitemid 32611312)
29. Wu CC, Shih CH, Chen WJ. Nonunion and shortening after femoral fracture treated with one-stage lengthening using locked nailing technique: good results in 48/51 patients. Acta Orthop Scand. 1999;70:33-36.
30. Panjabi MM, Walter SD, Karuda M, White AA, Lawson JP. Correlations of radiographic analysis of healing fractures with strength: a statistical analysis of experimental osteotomies. J Orthop Res. 1985; 3:212-218. (Pubitemid 15055364)
31. de Laat EA, Visser CP, Coene LN, Pahlplatz PV, Tavy DL. Nerve lesions in primary shoulder dislocations and humeral neck fractures. A prospective clinical and EMG study. J Bone Joint Surg Br. 1994;76: 381-383. (Pubitemid 24148335)
32. Visser CP, Tavy DL, Coene LN, Brand R. Electromyographic findings in shoulder dislocations and fractures of the proximal humerus: comparison with clinical neurological examination. Clin Neurol Neurosurg. 1999;101:86-91. (Pubitemid 29308932)
33. Peterson GW, Will AD. Newer electrodiagnostic techniques in peripheral nerve injuries. Orthop Clin North Am. 1988;19:13-25. (Pubitemid 18057228)
34. Handoll HH, Gibson JN, Madhok R. Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst Rev. 2003;4: CD000434. Available at: www.cochrane.org/reviews.
35. Bäthis H, Tingart M, Bouillon B, Tiling T. Surgical treatment of proximal humeral fractures. Is the T-plate still adequate osteosynthesis procedure? Zentralbl Chir. 2001;126:211-216. (Pubitemid 32233498)
36. Zyto K, Ahrengart L, Sperber A, Törnkvist H. Treatment of displaced proximal humeral fractures in elderly patients. J Bone Joint Surg Br. 1997;79:412-417.
37. Sperling JW, Cofield RH, Rowland CM. Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less. Long-term results. J Bone Joint Surg Am. 1998;80:464-473. (Pubitemid 28176561)
38. Egol KA, Kubiak EN, Fulkerson E, Kummer FJ, Koval KJ. Biomechanics of locked plates and screws. J Orthop Trauma. 2004;18:488-493. (Pubitemid 39294978)
39. Walsh S, Reindl R, Harvey E, Berry G, Beckman L, Steffen T. Biomechanical comparison of a unique locking plate versus a standard plate for internal fixation of proximal humerus fracture in a cadaveric model. Clin Biomech (Bristol, Avon). 2006;21:1027-1031. (Pubitemid 44691988)
40. Hawkins RJ, Kiefer GN. Internal fixation techniques for proximal humeral fractures. Clin Orthop Relat Res. 1987;223:77-85. (Pubitemid 17144209)
41. Morgan SJ, Furry K, Parekh AA, Agudelo JF, Smith WR. The deltoid muscle: an anatomic description of the deltoid insertion to the proximal humerus. J Orthop Trauma. 2006;20:19-21. (Pubitemid 44378189)
42. Hintermann B, Trouillier HH, Schafer D. Rigid internal fixation of fractures of the proximal humerus in older patients. J Bone Joint Surg Br. 2000;82:1107-1112.
43. Brooks CH, Revell WJ, Heatley FW. Vascularity of the humeral head after proximal humeral fractures. An anatomical cadaver study. J Bone Joint Surg Br. 1993;75:132-136. (Pubitemid 23052434)
44. Egol KA, Ong CC, Walsh M, Jazrawi LM, Tejwani NC, Zuckerman JD. Early complications in proximal humerus fractures (OTA type 11) treated with locked plate. J Orthop Trauma. 2008;22:159-164. (Pubitemid 351654232)
45. Cetik O, Uslu M, Acar HI, Comert A, Tekdemir I, Cift H. Is there a safe area for the axillary nerve in the deltoid muscle? A cadaveric study. J Bone Joint Surg Am. 2006;88:2395-2399. (Pubitemid 44713826)
46. Lill H, Hepp P, Rose T, König K, Josten C. The angle stable lockingproximal-humerus-plate (LPHP) for proximal humeral fractures using a small anterior-lateral-deltoid-splitting-approach-technique and first results. Zentralbl Chir. 2004;129:43-48. (Pubitemid 38297600)
47. Fisher MA. Electrophysiology of radiculopathies. Clin Neurophysiol. 2002;113:317-335. (Pubitemid 34233853)