Comparison of lateral deltoid splitting and deltopectoral approaches in the treatment of proximal humerus fractures

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dc.authoridMARAŞ ÖZDEMİR, ZEYNEP/0000-0003-1085-8978
dc.authoridKarakaplan, Mustafa/0000-0001-9035-0319
dc.authoridKorkmaz, Mehmet Fatih/0000-0001-7498-6763
dc.authoridSelçuk, Engin Burak/0000-0001-8484-0223
dc.authoridkaratas, turgay/0000-0002-1480-606X
dc.authoridErdem, Mehmet Nuri/0000-0001-7377-6393
dc.authorwosidMARAŞ ÖZDEMİR, ZEYNEP/ABI-3319-2020
dc.authorwosidKarakaplan, Mustafa/IXN-3318-2023
dc.authorwosidKorkmaz, Mehmet Fatih/AAE-6018-2020
dc.authorwosidSelçuk, Engin Burak/AAR-7556-2020
dc.authorwosidkaratas, turgay/ABI-7721-2020
dc.authorwosidErdem, Mehmet Nuri/J-9767-2018
dc.contributor.authorKorkmaz, Mehmet Fatih
dc.contributor.authorErdem, Mehmet Nuri
dc.contributor.authorKarakaplan, Mustafa
dc.contributor.authorGormeli, Gokay
dc.contributor.authorSelcuk, Engin Burak
dc.contributor.authorMaras, Zeynep
dc.contributor.authorKaratas, Turgay
dc.date.accessioned2024-08-04T20:40:07Z
dc.date.available2024-08-04T20:40:07Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND: Fractures of the proximal humerus that limit function are quite common. The objective of this retrospective study was to compare deltoid splitting and deltopectoral approaches by using the same fixation method. METHODS: Eighty-six patients who underwent surgical treatment between September 2005 and July 2011 were included into the study group. Deltoid splitting approach was used by exploring the axillary nerve on Group A patients as described by Codman, and deltopectoral approach was used on Group B patients. Group A consisted of a total of fifty-six patients of whom twenty-two were male and thirty-four were female patients, with a mean age of 62.5 years (range, 26 to 90 years). Group B consisted of a total of thirty patients of whom fourteen were male and sixteen were female patients, with a mean age of 54.8 years (range, 24 to 84 years). PHILOS plate system was utilized as an internal fixation tool in all patients. Functional results and complications of the two groups were compared using Constant scores. RESULTS: It was observed that humeral head and tubercular fragment reduction were better with lateral deltoid splitting approach, and Constant shoulder scores were higher in the early stages (66.8-57.4 consecutively; p0.05). DISCUSSION: Deltoid splitting approach, especially with AO/ASIF B and C type fractures, enables reduction and plate fixing under 270 degree control of the proximal humerus without forceful retraction and soft tissue damage, providing easy access to posterior tubercular fragment. Compared to deltopectoral approach, patients treated with deltoid splitting approach achieved higher Constant scores at an earlier stage. Lateral deltoid splitting approach, by exploring the axillary nerve, is a useful surgical technique which provides an expansive and multi-dimensional control without risking the deltoid muscle function and the axillary nerve.en_US
dc.identifier.doi10.5505/tjtes.2015.74150
dc.identifier.endpage118en_US
dc.identifier.issn1306-696X
dc.identifier.issue2en_US
dc.identifier.pmid25904272en_US
dc.identifier.scopus2-s2.0-84924753280en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage113en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2015.74150
dc.identifier.urihttps://hdl.handle.net/11616/96706
dc.identifier.volume21en_US
dc.identifier.wosWOS:000351545100006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBone platesen_US
dc.subjectbone screwsen_US
dc.subjectfracture fixationen_US
dc.subjectinternal methodsen_US
dc.subjecthumeral fractures-surgeryen_US
dc.subjectshoulder fracturesen_US
dc.subjectsurgery.en_US
dc.titleComparison of lateral deltoid splitting and deltopectoral approaches in the treatment of proximal humerus fracturesen_US
dc.typeArticleen_US

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