Deltoid split vs. deltopectoral approach for the treatment of humeral fractures .
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Deltoid-split or deltopectoral approaches for the treatment of displaced proximal humeral fractures?
Clin Orthop Relat Res. 2014 May;472(5):1576-85120 patients, >18 years of age, with displaced proximal humeral fractures were randomly assigned into 1 of 2 groups to compare the surgical efficacy of a deltoid split approach to a deltopectoral approach. The results of the study indicated that complications and reoperation rates were statistically similar between the two intervention methods. Constant scores at final follow up improved in both groups, but were not significantly different between them. Pain at final follow up was also found to be comparable between interventions. Loss to follow-up dropped statistical power to 68%, limiting the strength of the findings.
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