Robinson C M, Murray I R
The Edinburgh Shoulder Clinic, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
J Bone Joint Surg Br. 2011 Mar;93(3):387-92. doi: 10.1302/0301-620X.93B3.25818.
Fractures and nonunions of the proximal humerus are increasingly treated by open reduction and internal fixation. The extended deltopectoral approach remains the most widely used for this purpose. However, it provides only limited exposure of the lateral and posterior aspects of the proximal humerus. We have previously described the alternative extended deltoid-splitting approach. In this paper we outline variations and extensions of this technique that we have developed in the management of further patients with these fractures.
肱骨近端骨折和骨不连越来越多地采用切开复位内固定治疗。扩大的三角肌胸大肌入路仍然是最广泛用于此目的的方法。然而，它仅能有限地暴露肱骨近端的外侧和后侧。我们之前描述了另一种扩大的三角肌劈开入路。在本文中，我们概述了在治疗更多此类骨折患者时所开发的该技术的变体和扩展。
