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- Title
Surgical Position of Lateral-Tilted Supine is Suitable for Proximal Humeral Fracture Operations in Geriatric Patients.
- Authors
Yang, Yun-fa; Huang, Jian-wen; Gao, Xiao-sheng; Xu, Zhong-he
- 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.
- Subjects
GERIATRICS; HUMERAL fractures; SYSTOLIC blood pressure; TOMOGRAPHY; BLOOD pressure measurement; PATIENT positioning; SUPINE position; PATIENT safety
- Publication
Geriatric Orthopaedic Surgery & Rehabilitation, 2022, Vol 13, p1
- ISSN
2151-4585
- Publication type
Article
- DOI
10.1177/21514593221136797