Two different incisions for the surgical treatment of humeral surgical neck fractures
ZHAO Jin-zhao
ZHANG Hong-lu
SUN Jian
Abstract：Objective To compare the minimally invasive inner and outer shoulder incisions for the treat-ment of humeral surgical neck fractures and their prognoses.Methods 120 patients with humeral surgical neck frac-tures were collected in our hospital from May 2012 to May 2014, and were divided into the control group( minimally invasive incision from the inside of the front shoulder, n=60) and the observation group(minimally invasive incision from the lateral shoulder, n=60).The clinical effects of the two groups were compared.Results An average follow-up of 15 months showed fractures healing in all patients, without incision infection and humeral circumflex artery or axillary nerve injury.The average operative time of the observation group(87.4 ±23.5) min was shorter than that of the control group (135.6 ±35.9)min.The incision of the observation group was (9.7 ±2.1)cm, which was shorter than that of the control group (16.4 ±4.2)cm.The blood loss of the observation group (176.8 ±46.9)ml was less than that of the control group (334.9 ±67.8)ml.The score of the observation group(93.8 ±31.4) was greater than that of the control group(85.6 ±22.1).All the differences between the two groups were statisticly significant(P<0.05).Conclusion The minimally invasive incision from the lateral shoulder for the treatment of humeral surgical neck fractures can shorten the operative time, restore the joint function, and improve the quality of life of patients.
Keywords：Humeral fracturesSurgeryPrognosisShoulderMinimally invasive
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 554-556 )