Functional results of deltoid split minimally invasive osteosynthesis for neer type 3 proximal humerus fractures

Year 2023, Volume: 6 Issue: 1, 134 - 139, 12.01.2023

Taner Bekmezci , Serdar Kamil Çepni , Suat Batar , Ali Şişman

https://doi.org/10.32322/jhsm.1214157

Abstract

Aim: We aimed to evaluate the short-term functional and radiological outcomes of the minimally invasive fixation of three-part proximal humerus fractures without using calcar screws.
Material and Method: Twenty patients were treated with the minimally invasive approach using locking plate-screws. The relationship between the cephalo-diaphyseal angles and the functional outcomes were evaluated.
Results: The mean follow-up time were 22.7 months. The mean Constant-Murley score of the patients was 83.7. The modified Constant-Murley score was excellent in 16 and good in four patients. A statistically significant difference was detected between cephalo-diaphyseal angles.
Conclusion: Osteosynthesis with minimally invasive plate-screw and deltoid splitting application is encouraging with its satisfactory results in three-part fractures of the humerus; however, the total complication rate of 35% should not be ignored. In addition, in order to prevent a significant varus collapse and angular loss, the fracture subgroups should be studied in detail and additional measures should be taken based on the fracture type.

Keywords

Calcar screw, deltoid split, MIPO, proximal humerus fracture

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