{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:43:50Z","timestamp":1786653830561,"version":"build-2736575974"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Proximal humeral fractures (PHF) are common orthopedic injuries often associated with osteoporosis. Surgical approaches for PHF fixation, such as the deltopectoral and deltoid-splitting methods, have been a subject of debate. Additionally, patient satisfaction with these approaches has not been extensively studied among Iranian patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted on patients treated for PHF at a referral orthopedic center in Tehran, Iran, from 2019 to 2021. Two surgical techniques, deltopectoral and deltoid-splitting, were compared. Patient-reported outcomes in terms of patient satisfaction, including quality of life (SF-36), pain relief (VAS score), and shoulder function (Constant score), were assessed at six- and 12-month intervals postsurgery. Statistical analyses were performed to determine the differences between the two approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 148 patients, the majority were male (72.3%), 104 (70.3%) and 44 (29.7%) of patients were operated by deltopectoral and deltoid-splitting approaches, respectively. Patients\u2019 quality of life scored higher in the deltoid-splitting group both in six and one year following the surgical procedure; however, the observed differences did not reach statistical significance (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      values 0.121 and 0.736, respectively). While there were slight variations in shoulder function and pain relief between the surgical approaches, none of these differences reached statistical significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study suggests that both deltopectoral and deltoid-splitting surgical approaches for PHF treatment offer comparable patient satisfaction and functional outcomes. Surgeons can consider their expertise and patient-specific factors when selecting the appropriate approach for PHF fixation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/abr.abr_457_23","type":"journal-article","created":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T16:20:45Z","timestamp":1743351645000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Evaluation of Patient-reported Outcomes in Proximal Humeral Fracture: Deltoid-Splitting versus Deltopectoral Approaches"],"prefix":"10.4103","volume":"14","author":[{"given":"Hasan","family":"Barati","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mojtaba","family":"Baroutkoub","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohrab","family":"Salimi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sina","family":"Afzal","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farzad","family":"Amouzadeh Omrani","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamid","family":"Nikfarjam","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza Tavakoli","family":"Darestani","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3]]},"reference":[{"key":"R1-20250328","doi-asserted-by":"crossref","first-page":"402.","DOI":"10.1186\/s13018-021-02551-x","article-title":"Epidemiology of proximal humerus fractures","volume":"16","author":"Iglesias-Rodr\u00edguez","year":"2021","journal-title":"J Orthop Surg Res"},{"key":"R2-20250328","doi-asserted-by":"crossref","first-page":"261.","DOI":"10.1186\/s13256-023-03989-9","article-title":"Successful treatment of a multifocal comminuted open fracture of humerus with severe soft tissue defect: A case 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