Anterolateral approach with two incisions versus posterior median approach in the treatment of middle- and distal-third humeral shaft fractures

Autor: Qiang Huang, Yao Lu, Zhi Meng Wang, Liang Sun, Teng Ma, Qian Wang, Ming Li, Hong Liang Liu, Ming Ming Hou, Han Zhong Xue, Kun Zhang, Zhong Li
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Orthopaedic Surgery and Research, Vol 16, Iss 1, Pp 1-7 (2021)
Druh dokumentu: article
ISSN: 1749-799X
DOI: 10.1186/s13018-021-02355-z
Popis: Abstract Background The surgical approaches remain controversial for the treatment of middle and distal-third humeral shaft (MDTHS) fractures. This study compared clinical effects of the anterolateral approach with two incisions (AATI) and the posterior median approach (PMA) in the treatment of MDTHS fractures. Methods A retrospective analysis was carried out. One hundred sixty-six patients with MDTHS fractures were selected from January 2015 to January 2017 in Xi’an Hong Hui Hospital. According to surgical approaches, patients were divided into AATI (86 cases) and PMA group (80 cases). All patients were treated with open reduction and plate fixation. Operation indexes were compared, including incision length, operation time, and bleeding. Bryan-Morrey score was used to evaluate elbow joint function. Complication incidence was compared, such as incision infection, iatrogenic radial nerve injury, and nonunion. Results The AATI group showed smaller incision length, less bleeding, lower iatrogenic radial nerve injury rate, and better elbow function than that of PMA group (P
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