Comparison of the small incision surgery and the traditional surgery for humeral surgical neck fracture

Objective To compare the clinical efficacy of the small incision and the traditional open surgery with the locking compression plate in the treatment of proximal humerus fractures.Methods Fifty-five cases of humeral surgical neck fractures were randomly divided into two groups:mini-incision approach from the lateral shoulder in 25 cases(mini-incision group),and the traditional antero-medial incision approach in 30 cases(traditional group).All fractures were fixated with the locking compression plates.The operation time,the blood loss,the incision length,the postoperative Neer score,the healing time of bone were recorded.All the data were analyzed by SPSS17.0 statistical software.Results The mean operative time was(81.32±12.25)min and(138.80±19.25)min in mini-incision group and traditional group(P0.05),the blood loss was(162.40±21.07)ml and(344.00±77.35)ml(P0.05),the incision lengths were(9.08±1.66)cm and(15.06±1.12)cm(P0.05),and the Neer scores were 92.84±4.29 and 85.20±6.73 in mini-incision group and traditional group(P0.05).The fracture healing time was(8.88±1.90)min and(8.60±2.25)min in mini-incision group and traditional group,but there was no statistical difference.Conclusion The mini-incision approach from lateral shoulder to fixate humeral surgical neck fracture with the locking compression plate has the advantages of smaller incision,shorter operation time,less blood loss and better postoperative shoulder joint function recovery.