Voie d’abord transdeltoïdienne versus deltopectorale dans les fractures de l’humérus proximal. Revue et méta-analyse - 31/03/19
Deltoid-split approach versus deltopectoral approach for proximal humerus fractures: A systematic Review and meta-Analysis
Abstract |
Purpose |
To investigate the evidence of deltoid split approach (DS) versus deltopectoral approach (DP) in treatment of proximal humerus fractures from current RCT and prospective literatures.
Methods |
The electronic literature database of Pubmed, Embase, and Cochrane library was searched in December 2017. The data complications (including implant failure, humeral head necrosis, infection, radiological adverse events, nonunion rate, subacromial impingement, and damage of the axillary nerve), functional outcomes (including Constant, NEER, DASH, ADL, VAS score), operation time, hospital stay and intraoperative blood loss were extracted and analyzed by STATA 11.0 software.
Results |
Three RCTs and three prospective comparative studies were included in this meta-analysis. The meta-analysis showed that the DS group had a significantly low humeral head necrosis rate and short operation time. No significant difference was found in total complication rate, functional outcome, and other perioperative parameters between DS and DP groups.
Conclusion |
The prospective evidence suggested that DS approach for proximal humerus fractures had less humeral head necrosis and short operation time than DP approach. Both DS and DP approach had similar results in functional outcomes, total complication, VAS, and hospital stay.
Le texte complet de cet article est disponible en PDF.Keywords : Proximal humerus fractures, Deltoid split approach, Deltopectoral approach, Humeral head necrosis, Axillary nerve
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 105 - N° 2
P. 177 - avril 2019 Retour au numéro
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