Clinical Effect of the Axillary Approach to Glenoid Fractures

Peking University

Status: Unknown

Conditions: Fracture; Glenoid

Treatments: Procedure: The axillary approach

Study type: Interventional

Funder types: Other

Identifiers

NCT05279261

IRB00006761-M2019363

Details and patient eligibility

About

Glenoid fractures result in glenohumeral post-trauma arthritis and instability. Operative treatment is indicated for severe fractures. The traditional deltopectoral approach, which requires detachment of the subscapularis, has many drawbacks, including loss of external rotation and suboptimal fixation. Arthroscopic techniques also cannot allow anatomic reduction and biomechanical stability for large fractures. We describe an alternative approach that enters from the axilla through the interval between the rotator cuff and the inferior glenoid, neck and lateral border of the scapula without detachment of the rotator cuff.

Enrollment: 15 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Traumatic and closed fractures
• Fracture type conforms to Ideberg Ia classification or AO/OTA F1.1 classification
• Fracture displacement ≥4mm, the area of involvement ≥20%.

Exclusion criteria

• Severe multiple trauma
• Pathological fracture
• Unable to tolerate surgical treatment
• The interval between injury and operation was > 2 weeks

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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15 participants in 1 patient group

Experimental group

Experimental group

Description:

Undergo the axillary approach

Treatment:

Procedure: The axillary approach