Article

7 Iconography
Access to the text (HTML) Access to the text (HTML)
PDF Access to the PDF text
Advertising


Access to the full text of this article requires a subscription.
  • If you are a subscriber, please sign in 'My Account' at the top right of the screen.

  • If you want to subscribe to this journal, see our rates



@@#116300@@

Orthopaedics & Traumatology: Surgery & Research
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le jeudi 14 mars 2019
Doi : 10.1016/j.otsr.2018.12.004
Received : 10 June 2018 ;  accepted : 19 December 2018
Deltoid-split approach versus deltopectoral approach for proximal humerus fractures: A systematic review and meta-analysis
 

Linzhen Xie a, 1, Yingying Zhang b, 1, Chunhui Chen a, Wenhao Zheng a, Hua Chen a, , 2 , Leyi Cai a, , 2
a Department of Orthopaedics Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, No. 109, XueYuan West road, 325000 Wenzhou, Luheng District, Zhejiang Province, People's Republic of China 
b Department of Radiology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, No. 109, XueYuan West road, 325000 Wenzhou, Luheng District, Zhejiang Province, People's Republic of China 

Corresponding author.⁎⁎Co-corresponding author.
Abstract
Purpose

To investigate the evidence of deltoid-split approach (DS) versus deltopectoral approach (DP) in treatment of proximal humerus fractures from current RCT and prospective literatures.

Methods

The electronic literature database of Pubmed, Embase, and Cochrane library was searched at December 2017. The data complications (including implant failure, humeral head necrosis, infection, radiological adverse events, nonunion rate, subacromial impingement, and damage of the axillary nerve), functional outcomes (including Constant, NEER, DASH, ADL, VAS score), operation time, hospital stay and intraoperative blood loss were extracted and analyzed by STATA 11.0 software.

Results

Three RCTs and three prospective comparative studies were included in this meta-analysis. The meta-analysis showed that the DS group had a significantly low humeral head necrosis rate and short operation time. No significant difference was found in total complication rate, functional outcome, and other Perioperative parameters between DS and DP groups.

Conclusion

The prospective evidence suggested that DS approach for proximal humerus fractures had less humeral head necrosis and short operation time than DP approach. Both DS and DP approach had similar results in functional outcomes, total complication, VAS, and hospital stay.

The full text of this article is available in PDF format.

Keywords : Proximal humerus fractures, Deltoid-split approach, Deltopectoral approach, Humeral head necrosis, Axillary nerve.


1  These authors contributed equally to this work and should be considered as co-first authors.
2  These authors contributed equally to this work and should be considered as co-corresponding author.


© 2019  Elsevier Masson SAS. All Rights Reserved.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Close
Article Outline