中华医学杂志（英文版）Issue(7)：1272-1275,4.DOI:10.3760/cma.j.issn.0366-6999.2012.07.015
Arthroscopic reduction and fixation for isolated greater tuberosity fractures
Arthroscopic reduction and fixation for isolated greater tuberosity fractures
WANG Yong-ping 1ZHAO Jin-zhong 1HUANGFU Xiao-qiao 1LIU Wen-xin 1JIANG Yao 1ZHOU Xin-hua 2HE Yao-hua1
作者信息
- 1. Department of Orthopedics, Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
- 2. Department of Orthopedics, Beijing Jishuitan Hospital, Beijing 100035, China
- 折叠
摘要
Abstract
Background Traditionally,displaced greater tuberosify fractures are treated with open reduction and internal fixation.Arthroscopic treatment and outcome of greater tuberosity fractures is far from comprehensive.The objective of the current study was to assess the surgical procedure and outcome of an arthroscopic method in the treatment of isolated greater tuberosity fractures.Methods From January 2006 to December 2009,23 patients with isolated greater tuberosity fractures were treated with an arthroscopic procedure using three cannulated screws combined with washers.During follow-up,radiographs and the constant shoulder score (CSS) were used to evaluate the outcome.Results Three cannulated screws with washers were used to fix the fractured fragment of the greater tuberosity under an arthroscope.All incisions healed at primary intention without infection.The mean duration of follow-up was 20 months (range 18-36 months).Fracture fixation was excellent,and fractures healed 2-6 months (mean 3.8 months) after surgery.At final follow-up,the CSS was 92 (range 86-100).Conclusions The described arthroscopic procedure provides anatomical reduction and firm fixation for isolated greater tuberosity fractures.It is a successful and minimally invasive procedure with satisfying therapeutic effects as well as excellent functional recovery.关键词
fracture/greater tuberosity/arthroscopy/humerus/shoulder jointKey words
fracture/greater tuberosity/arthroscopy/humerus/shoulder joint引用本文复制引用
WANG Yong-ping,ZHAO Jin-zhong,HUANGFU Xiao-qiao,LIU Wen-xin,JIANG Yao,ZHOU Xin-hua,HE Yao-hua..Arthroscopic reduction and fixation for isolated greater tuberosity fractures[J].中华医学杂志（英文版）,2012,(7):1272-1275,4.
