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Clinical Effect of the Axillary Approach to Glenoid Fractures

P

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)

15 participants in 1 patient group

Experimental group
Experimental group
Description:
Undergo the axillary approach
Treatment:
Procedure: The axillary approach

Trial contacts and locations

1

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Central trial contact

Yong Xing; Yun Tian, M.D

Data sourced from clinicaltrials.gov

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