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Surgical Position of Lateral-Tilted Supine is Suitable for Proximal Humeral Fracture Operations in Geriatric Patients. | LitMetric

Surgical Position of Lateral-Tilted Supine is Suitable for Proximal Humeral Fracture Operations in Geriatric Patients.

Geriatr Orthop Surg Rehabil

Department of Orthopaedic Surgery, Guangzhou First People's Hospital, The Second Affiliated Hospital, School of Medicine, South China University of Technology, Guangdong, China.

Published: October 2022

AI Article Synopsis

  • * Over a four-year period, 65 patients (25 males, 40 females) were operated on using the LTS position, finding it effective for various surgical methods without complications.
  • * The LTS position was quick to set up, with an average time of about 11.5 minutes, and did not lead to any significant issues with blood pressure or surgical complications.

Article Abstract

Objective: To report a new surgical position of lateral-tilted supine (LTS) for geriatric proximal humeral fracture operations.

Methods: Between January 2016 and December 2020, we adopted the LTS position for operations in 65 geriatric patients with proximal humeral fractures.

Results: Sixty-five patients including 25 males and 40 females aged 80.3 ± 8.5 years. The LTS position could be used for almost all proximal humeral fracture surgeries, such as ORIF with plate, suture anchor, and other fixation in 4 patients, open reduction and internal fixation (ORIF) with multiLoc nailing in 48, and shoulder hemiarthroplasty (SHA) in 13. Surgical position setting times were 11.47 ± 2.14 min. The systolic blood pressure changes before and after positioning were 15.07 ± 8.72 mmHg. All of the C-arm X-ray directions, including the cephalic side, contralateral side, and ipsilateral side, can be used in the LTS position surgeries. No surgical complications or no surgical position-related complications were found in these 65 cases.

Conclusion: The surgical position of LTS is suitable for geriatric proximal humeral fracture operations.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9597008PMC
http://dx.doi.org/10.1177/21514593221136797DOI Listing

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