Sivaram J, Asati Shubham, Bothra Himanshu, Pagare Gaurav S, Panja Supantha, Tirunamalli Reshma, Kalsi Jasmine
Department of Orthopedics, Government Sivagangai Medical College, Sivagangai, Tamil Nadu, India.
Department of Orthopaedics, Government Medical College, Mahasamund, Chattishgarh, India.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2410-S2412. doi: 10.4103/jpbs.jpbs_239_24. Epub 2024 Jun 7.
"Proximal humerus fractures [PHFs]" are common orthopedic injuries, often requiring surgical intervention for optimal outcomes. However, the choice of surgical approach remains controversial, with varying outcomes reported in the literature.
A retrospective research was overseen among subjects who had surgery for PHFs. Three surgical approaches were compared: "Open Reduction Internal Fixation (ORIF)", "Hemiarthroplasty [HA]", and "Reverse Shoulder Arthroplasty [RSA]". Demographic data, fracture characteristics, surgical details, and postoperative outcomes were analyzed.
ORIF confirmed smaller operative time and shorter complication levels compared to HA and RSA. Complications included surgical site infection, implant-related issues, and reoperation. Age, fracture type, and surgeon experience influenced the choice of surgical approach.
This research provides valuable insights into the outcomes of different surgical approaches for PHFs. ORIF may offer advantages in select cases, but individualized treatment decisions are necessary. Further research is warranted to refine treatment algorithms and optimize patient outcomes.
“肱骨近端骨折（PHFs）”是常见的骨科损伤，通常需要手术干预以获得最佳治疗效果。然而，手术入路的选择仍存在争议，文献报道的治疗结果各不相同。
对接受肱骨近端骨折手术的患者进行了一项回顾性研究。比较了三种手术入路：“切开复位内固定术（ORIF）”、“半关节置换术（HA）”和“反肩关节置换术（RSA）”。分析了人口统计学数据、骨折特征、手术细节和术后结果。
与HA和RSA相比，ORIF的手术时间更短，并发症发生率更低。并发症包括手术部位感染、植入物相关问题和再次手术。年龄、骨折类型和外科医生经验影响手术入路的选择。
本研究为肱骨近端骨折不同手术入路的治疗结果提供了有价值的见解。ORIF在某些情况下可能具有优势，但需要做出个体化的治疗决策。有必要进行进一步的研究以完善治疗方案并优化患者治疗效果。
