Clinical Effect of the Axillary Approach to Glenoid Fractures

Not Applicable

• Conditions: Fracture; Glenoid
• Interventions: Procedure: The axillary approach

• Registration Number: NCT05279261
• Lead Sponsor: Peking University Third Hospital

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2019-06-12
• Status Verified: 2021-07
• Study First Submitted: 2021-07-01
• Study First Submitted QC: 2022-03-14
• Last Update Submitted: 2022-03-14
• Study First Posted: 2022-03-15
• Last Update Posted: 2022-03-15
• Primary Completion: 2022-07-01
• Study Completion: 2022-07-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 15

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%.

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Exclusion Criteria

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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Experimental group	The axillary approach	Undergo the axillary approach

Primary Outcome Measures

Name	Time	Method
fracture union	6 months	X-rays and CT scans are used to evaluate the bone union
the Constant and Murley scores	2 years	The questionaire evaluates shoulder function in terms of pain (15 points), daily activities (20 points), range of motion (40 points) and muscle strength (25 points) on a scale of 100, with the higher the score, the better the function.
the DASH(disabilities of the arm，shoulder and hand) scores	2 years	Shoulder function was evaluated by patients' subjective feelings about pain, activity, daily life, work and entertainment of the affected limb in the past 1 week. A total of 30 items were evaluated, and the score of each item was 1-5, DASH= (total score-30) /1.2, with the maximum score of 100, the lower the score, the better the function

Secondary Outcome Measures

Name	Time	Method
Complications	2 years	The presence of postoperative complications,including implant failure, osteolysis, and soft-tissue reactions, are determined by symptoms and images.

Trial Locations

Locations (1)

Peking University Third Hospita; 🇨🇳 Beijing, China