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

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY Geriatric Orthopaedic Surgery & Rehabilitation Pub Date : 2022-10-22 eCollection Date: 2022-01-01 DOI:10.1177/21514593221136797

Yun-Fa Yang, Jian-Wen Huang, Xiao-Sheng Gao, Zhong-He Xu

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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.

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老年人肱骨近端骨折手术宜采用仰卧位。

目的:报道一种用于老年人肱骨近端骨折手术的仰卧侧倾体位。方法:2016年1月至2020年12月，采用LTS体位对65例老年肱骨近端骨折患者进行手术治疗。结果:65例患者，男25例，女40例，年龄80.3±8.5岁。LTS位几乎可用于所有肱骨近端骨折手术，如4例采用钢板、缝合锚钉等固定的ORIF, 48例采用多loc螺钉切开复位内固定(ORIF)， 13例采用肩关节半置换术(SHA)。手术体位设置时间为11.47±2.14 min，体位前后收缩压变化为15.07±8.72 mmHg。所有c臂x线方向，包括头侧、对侧和同侧，均可用于LTS位手术。本组65例均无手术并发症或体位相关并发症。结论:LTS的手术位置适合于老年人肱骨近端骨折手术。

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来源期刊

Geriatric Orthopaedic Surgery & Rehabilitation Medicine-Rehabilitation

CiteScore

3.00

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： Geriatric Orthopaedic Surgery & Rehabilitation (GOS) is an open access, peer-reviewed journal that provides clinical information concerning musculoskeletal conditions affecting the aging population. GOS focuses on care of geriatric orthopaedic patients and their subsequent rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE).