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pattern, such as marginal impactions, intraarticular fragments and cartilage damage, the attending surgeon has to choose between the different options of anterior/posterior or rarely extended or combined surgical approaches. While the Kocher
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Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland
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remains controversial, with two main approaches being widely used: ORIF with open deltopectoral (DP) approach and minimally invasive plate osteosynthesis (MIPO) with deltosplit (DS) approach. The first one is the most common ( 15 , 16 ), being worldwide
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a high risk of bleeding due to the multiple soft-tissue layers breached during the surgical approaches and the associated bleeding from displaced fractures. 19 , 20 VKA reversal is therefore crucial before most orthopaedic interventions. An INR
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, with specific constellations as polytrauma, vascular injury, instability, or open fracture demanding a surgical approach ( 5 , 6 ). The frequency of surgical therapy has increased over the years ( 7 ), including plate osteosynthesis via a conventional
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shown that in > 80% of cases CT scans provided additional information about the fracture configuration which resulted in a change of the initially planned surgical approach in 64%. 16 Tornetta and Gorup, 16 on the basis of CT investigations of
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modern vehicles. 5 Since fractures of the femoral head are usually high-energy, intra-articular injuries, they pose unique challenges for the treating surgeon. Treatment of this injury ranges from simple closed reduction to a surgical approach, which
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approaches are the most commonly used ( 2 , 22 , 26 ). Besides those results, McCormick et al . mentioned further opportunities for treating acetabular fractures in combined (ORIF + THA) proceedings with an incidence of 3.7% or a closed reduction and
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long approach; this implies that a DHS with more than two holes was used, presumably a four-hole DHS, and that a muscle-reflecting approach rather than a minimally invasive muscle-splitting approach was used. In an RCT on AO-OTA 31-A1 and A2 fracture
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although the reduced time to re-innervation provides good supportive evidence for this approach in the surgical management of nerve injuries at other sites, including the brachial plexus. 34 Results Although the early results of lower limb
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% involvement in a surgical approach is recommended ( 35 ). In chronic biceps tendon rupture, scarring and a proximally retracted tendon, unless the lacertus fibrosus is intact, cause difficulties in anatomical tendon reinsertion ( 36 ). Therefore, non
