Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Jan 2008
Multicenter Study Comparative StudyThe surgical approach for locking plate osteosynthesis of displaced proximal humeral fractures influences the functional outcome.
This study evaluated the influence of the surgical approach for locking plate osteosynthesis in proximal humeral fractures during a 1-year period. We performed a comparative study in 83 patients to evaluate possible benefits for an early functional result for function, pain, activity levels, radiographic evaluation, and complications. In 39 cases, the extended anterolateral deltoid-splitting approach was used (group DS); in 44 cases, the deltopectoral approach was used (group DP). ⋯ One case of avascular necrosis was observed in group DS and 3 in group DP. We conclude that the choice of approach for exposure of the proximal humerus region may influence the functional outcome. Stable osteosynthesis is important, but the outcome of operatively treated proximal humerus fractures is dependent on soft tissue management as well.
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J Shoulder Elbow Surg · Jan 2008
Multicenter StudyA method for internal fixation of unstable distal clavicle fractures: early observations using a new technique.
Unstable distal clavicle fractures often require open reduction and internal fixation. A variety of fixation methods have been used and are currently in use. None of the current fixation methods seem to be without problems. We present a new technique and early observations using a distal radius locking T-plate normally used for fixation of distal radius fractures.