A comparative study in the functional outcomes after conventional Deltopectoral approach vs. anterior deltoid split approach for fixation of proximal humerus fractures

Both the Deltopectoral and Anterior Deltoid split approaches are effective in managing proximal humerus fractures, with no significant differences in long-term functional outcomes. The choice of approach should depend on the surgeon's familiarity with the technique, specific fracture characteristics, and the need to minimize soft tissue damage to enhance recovery and reduce the chances of avascular necrosis. This study suggests that either approach can provide satisfactory functional results in open reduction and internal fixation with PHILOS plating for proximal humerus fractures.