摘要
目的探讨双排锚钉在肱骨大结节骨折有限切开复位内固定中应用的临床价值。方法自2010年3月至2013年3月,对10例单独大结节骨折患者通过有限切开复位,双排锚钉桥式缝合内固定治疗肱骨大结节移位骨折。术后随访,复查X线片评价复位情况,以Constant评分和UCLA评分评价肩关节功能。结果所有患者术后均获得解剖复位。在平均12.3个月的随访中,X线片显示复位无丢失,骨折获得愈合,Constant评分平均90.3分,UCLA评分平均32.2分。结论双排锚钉内固定治疗单纯移位的肱骨大结节骨折效果可靠。
Background Among the proximal humeral fractures,the incidence of isolated fractures has been reported to be approximately 14% to 21%.In addition,during rotator cuff injury,as a result of a strong pulling power,fractures of the greater tuberosity occur frequently during avulsion fracture of the rotator cuff.Particularly,a strong external rotation power acts on the greater tuberosity,and thus avulsion fracture may occur during anterior shoulder dislocation.Some authors have reported that greater tuberosity fractures were associated with approximately 10% to 30% of shoulder joint dislocation cases.Several arthroscopic and open techniques utilizing screws,wire or sutures through bone have been described for reduction and internal fixation of the greater tuberosity to the proximal humerus.But these are often inadequate in the presence of comminution and may prevent accurate restoration of the tuberosity-head relation.Bhatia have performed open reduction -internal fixation by use of the double-row suture anchor fixation technique in 21 cases of comminuted and displaced fractures of the greater tuberosity,and the long-term results suggest a satisfactory outcome in most patients.However,the retrospective study or follow-up data about the surgical treatment of displaced humeral greater tuberosity fractures is still very limited.The purpose of this retrospective study is to evaluate the therapeutic outcomes of the open reduction and internal fixation using double-row fixation with suture anchors for the treatment of humeral greater tuberosity fractures.Methods The study included 10 patients with isolated greater tuberosity fractures.The cases were reviewed at a mean post-operative follow-up duration is 12.3 months (range from 7 to 18 months)from 2010 to 2013.The average age of the patients was 48.2 years old (range:41 to 63 years old),including 4 males and 6 females.Among them,3 patients were associated with anterior dislocation of the shoulder joint.All radiographs were examined by a single observer.The displacement was m
出处
《中华肩肘外科电子杂志》
2014年第2期80-84,共5页
Chinese Journal of Shoulder and Elbow(Electronic Edition)
关键词
肱骨骨折
大结节
锚钉
Humerus fractures,greater tuberosity
Anchors
