Comparative Analysis of Surgical Approaches in the Treatment of Proximal Humerus Fractures: A Retrospective Study

IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics

Journal of Pharmacy and Bioallied Sciences Pub Date : 2024-06-07 DOI:10.4103/jpbs.jpbs_239_24

J. Sivaram, Shubham Asati, Himanshu Bothra, Gaurav S. Pagare, Supantha Panja, Reshma Tirunamalli, Jasmine Kalsi

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引用次数: 0

Abstract

ABSTRACT “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.

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治疗肱骨近端骨折的手术方法比较分析：回顾性研究

摘要 "肱骨近端骨折 [PHFs]"是常见的骨科损伤，通常需要手术治疗才能达到最佳效果。然而，手术方法的选择仍存在争议，文献报道的结果也不尽相同。我们对接受过 PHFs 手术的受试者进行了一项回顾性研究。对三种手术方法进行了比较："开放复位内固定术（ORIF）"、"半关节成形术（HA）"和 "反向肩关节成形术（RSA）"。对人口统计学数据、骨折特征、手术细节和术后效果进行了分析。与HA和RSA相比，ORIF证实手术时间更短，并发症水平更低。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的经验影响了手术方法的选择。这项研究为PHF不同手术方法的结果提供了宝贵的见解。ORIF可能在特定病例中具有优势，但有必要做出个性化的治疗决定。有必要开展进一步研究，以完善治疗算法并优化患者的治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pharmacy and Bioallied Sciences PHARMACOLOGY & PHARMACY-

CiteScore

1.50

自引率

0.00%

发文量

275

审稿时长

34 weeks

期刊介绍： Journal of Pharmacy And Bioallied Sciences is a Quarterly multidisciplinary open access biomedical journal. Journal of Pharmacy And Bioallied Sciences is an international medium of interaction between scientist, academicians and industrial personnel’s.JPBS is now offial publication of OPUBS.