Comparison of the Posterior and Anterolateral Surgical Approaches in the Treatment of Humeral Mid-Shaft Fractures: A Retrospective Study

08 July 2020: Clinical Research

Yihan Li ^ABCDEF , Qingxian Tian ^ABCDEFG* , Kunpeng Leng ^BCDF , Meng Guo ^BCDE

DOI: 10.12659/MSM.924400

Med Sci Monit 2020; 26:e924400

Table 3 Comparison of complications between all groups.

	Group I (type A; posterior) (N=28)	Group II (type A; anterolateral) (N=32)	P value	Group III (type B/C; posterior) (N=29)	Group IV (type B/C; anterolateral) (N=18)	P value	Group I and III (type: A, B, C; posterior) (N=57)	Group II and IV (type: A, B, C; anterolateral) (N=50)	P value
Iatrogenic radial nerve palsy	5 (17.9)	1 (3.1)	0.058	5 (17.2)	2 (11.1)	0.566	10 (17.5)	3 (6.0)	0.068
Cutaneous nerve injury
Inferior lateral brachial cutaneous nerve damage	1 (3.6)	0 (0)	0.467	1 (3.4)	0 (0)	1.000	2 (3.5)	0 (0)	0.497
Lateral antebrachial cutaneous nerve damage	0 (0)	0 (0)	None	0 (0)	1 (5.6)	0.383	0 (0)	1 (2.0)	0.467
Total	1 (3.6)	0 (0)	0.467	1 (3.4)	1 (5.6)	1.000	2 (3.5)	1 (2.0)	1.000
Delayed union	1 (3.6)	1 (3.1)	0.923	3 (10.3)	1 (5.6)	0.567	4 (7.0)	2 (4.0)	0.498
Non-union	0 (0)	0 (0)	–	0 (0)	1 (5.6)	0.383	0 (0)	1 (2.0)	0.467
Infection
Superficial	1 (3.6)	0 (0)	0.467	0 (0)	0 (0)	None	1 (1.8)	0 (0)	1.000
Deep	0 (0)	0 (0)	None	0 (0)	1 (5.6)	0.383	0 (0)	1 (2.0)	0.467
Total	1 (3.6)	0 (0)	0.467	0 (0)	1 (5.6)	0.383	1 (1.8)	1 (2.0)	1.000
Severe pain requiring device removal	4 (14.3)	3 (9.4)	0.554	3 (10.3)	2 (11.1)	0.934	7 (12.3)	5 (10.0)	0.709
Fixation failure	0 (0)	0 (0)	None	0 (0)	0 (0)	None	0 (0)	0 (0)	None
Total complications rate	12 (39.2)	5 (12.5)	0.017	12 (41.4)	68 (38.1)	0.836	24 (42.1)	13 (26.0)	0.081
Values are presented as number (%).