Minimal Invasive PHILOS(®)-Plate Osteosynthesis in Proximal Humeral Fractures

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Yves P AcklinChristoph Sommer

Abstract

The anterior delto-pectoral approach is the standard approach for the fixation of proximal humeral fractures with the PHILOS(®)-Plate system. However, this approach can impair the vascular supply and can increase avascular necrosis. The objective of this study was to evaluate the results and complexity of surgery of proximal humeral fractures with a minimal invasive (MIPO) approach. All PHILOS(®)-plate osteosynthesis operated between Januray 2003 and June 2006 were evaluated prospectively. A minimal invasive antero-lateral deltasplit-approach was performed in all two to four fragment instable fractures meeting the indication for osteosynthesis according to Neer. An open approach (ORIF) was chosen in all other fractures mainly dislocated fractures and particularly in fractures with major subcapital displacement. A cohort of 68 patients suffered a proximal humerus fracture and qualified for a minimal invasive approach with a PHILOS(®)-plate osteosynthesis. Of these 68 patients, 41 were locally resident. Eight patients refused a follow-up, two patients were in constant care, and two patients died; 29 patients (71%) (20 females, 9 males) could be documented entirely with a median age of 64 years. The median operation time amounted ...Continue Reading

References

Jan 1, 1993·The Journal of Bone and Joint Surgery. British Volume·C H BrooksF W Heatley
May 3, 2005·Clinical Orthopaedics and Related Research·Michael J GardnerDean G Lorich
Jul 12, 2005·Operative Orthopädie und Traumatologie·Michael Plecko, Aurel Kraus
Jan 6, 2006·Clinical Orthopaedics and Related Research·Naeder Helmy, Beat Hintermann
Oct 3, 2006·The Journal of Bone and Joint Surgery. British Volume·P V Giannoudis, E Schneider
Nov 8, 2006·Journal of Orthopaedic Trauma·Michael J GardnerDean G Lorich

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Citations

Jan 25, 2012·Operative Orthopädie und Traumatologie·Y P Acklin, C Sommer
Jun 6, 2014·Clinics in Orthopedic Surgery·Jin Park, Seong Yup Jeong
Apr 23, 2010·Musculoskeletal Surgery·Raffaele RussoFabio Cautiero
Jul 23, 2011·Wiley Interdisciplinary Reviews. Nanomedicine and Nanobiotechnology·Jons Hilborn
Jan 16, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Joëlle BorerArby Babians
Jul 4, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Laura BuchmannSascha Halvachizadeh

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