Two-incision technique for treatment of complex proximal humerus fractures

Robert A. Gallo, Gregory J. Zeiders, Gregory T. Altman

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

The treatment of complex proximal humerus fractures that involve displacement of the greater tuberosity remains challenging. Good functional outcomes and decreased pain are possible with open reduction and internal fixation. Keys to a successful outcome include preservation of blood supply through decreased soft-tissue stripping, restoration of normal anatomic relationships (particularly the greater tuberosity), and stable internal fixation that allows early range of motion. To attain these goals, we advocate fixation with a fixed-angle locking proximal humerus plate using a 2-incision approach. A deltopectoral incision is used to expose the humeral shaft and head while the greater tuberosity is visualized by using a lateral incision. The fracture fragments are reduced and the plate is secured by working through these 2 incisions.

Original languageEnglish (US)
Pages (from-to)734-740
Number of pages7
JournalJournal of orthopaedic trauma
Volume19
Issue number10
DOIs
StatePublished - Nov 1 2005

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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