Anterolateral approach with two incisions in the treatment o
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The anterolateral approach with two incisions has greater clinical results. This study compared clinical effects of the anterolateral approach with two incisions (AATI) and the posterior median approach (PMA) in the treatment of middle and distal-third humeral shaft (MDTHS) fractures.

A total of 166 patients with MDTHS fractures were chosen. Patients were divided into two groups based on surgical approaches: AATI (86 cases) and PMA (48 cases) (80 cases). Open reduction and plate fixation were used on both of the patients. Incision duration, operation time, and bleeding were all compared as operation indices. To assess elbow joint function, the Bryan-Morrey score was used. Incision infection, iatrogenic radial nerve injury, and nonunion were all compared as complications.

Results:
--The AATI group showed:
Smaller incision length,
Less bleeding,
Lower iatrogenic radial nerve injury rate, and
Better elbow function than that of PMA group.

Both methods will successfully treat middle and distal-third humeral shaft fractures. The anterolateral approach with two incisions has greater clinical results than the posterior median approach, and it is worthy of clinical implementation and promotion.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02355-z
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