Article Details

2016 | October-December | Issue4
ORIGINAL ARTICLE
Use of Deltoid Splitting Approach for Neer’s Type II and III Proximal Humerus Fractures treated with Angular Stable Locking Plate
Sarabjeet Kohli, Nilesh Vishwakarma, Shaival Chauhan, Kuldeep Salgotrar
Author Affiliation
Sarabjeet Kohli : Mahatma Gandhi Mission Medical College and Hospital, Navi Mumbai, Maharashtra, India

Nilesh Vishwakarma : Mahatma Gandhi Mission Medical College and Hospital, Navi Mumbai, Maharashtra, India

Shaival Chauhan : Mahatma Gandhi Mission Medical College and Hospital, Navi Mumbai, Maharashtra, India

Kuldeep Salgotra : Mahatma Gandhi Mission Medical College and Hospital, Navi Mumbai, Maharashtra, India

10.5005/jp-journals-10036-1118

ABSTRACT

We studied outcomes in 35 patients having Neer’s type II and III proximal humerus fractures who underwent surgery in our center. All fractures were fixed with angular stable locking plate through Deltoid splitting approach. There was no incidence of nonunion and no axillary nerve injury. Varus malunion occurred in 6% of cases. Deltoid function remained satisfactory in all patients. Overall results were excellent in 60%, good in 35%, and fair in 5%. Based on this study, we feel that the Deltoid splitting approach is associated with much better outcomes for treating Neer’s type II and III proximal humerus fractures because it is less invasive, requires minimal soft tissue dissection, and lessens the chances of axillary nerve injury and Deltoid dysfunction.

Keywords: Axillary nerve injury, Proximal humerus fracture, Trans-Deltoid approach.

How to cite this article: Kohli S, Vishwakarma N, Chauhan S, Salgotra K. Use of Deltoid Splitting Approach for Neer’s Type II and III Proximal Humerus Fractures treated with Angular Stable Locking Plate. MGM J Med Sci 2016;3(4):167-171.

Source of support: MGMIHS

Conflict of interest: None

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