中国组织工程研究2017，Vol.21Issue(19)：3005-3010,6.DOI:10.3969/j.issn.2095-4344.2017.19.009
全关节镜下双排缝合锚钉修复肱骨大结节MutchⅠ型骨折的临床分析
Double-row suture anchors under arthroscopy for avulsion-type greater tuberosity fractures (Mutch type I)
摘要
Abstract
BACKGROUND: Greater tuberosity of humerus, as the attachment point of rotator cuff, plays a vital role in shoulder.Neer and AO classification for proximal humeral fractures have been accepted extensively. However, the classification for single greater tuberosity fractures of the proximal humerus is little reported, and its fixation method remains controversial.OBJECTIVE: To explore the curative efficacy of the double-row suture anchors under arthroscopy for avulsion-type greater tuberosity fractures (Mutch type Ⅰ) METHODS: Clinical data of 24 patients with avulsion-type greater tuberosity fractures (Mutch type Ⅰ) undergoing double-row suture anchors under arthroscopy were analyzed retrospectively. The displacement distance of the greater tuberosity of humerus was measured on CT before and after fixation. The shoulder joint was evaluated by Constant-Murley Score and the University of California, Los Angeles score at baseline, 1, 3, 6 and 12 months postoperatively. Besides, the visual analogue scale scores were detected at baseline and 12 months postoperatively.RESULTS AND CONCLUSION: (1) Double-row suture anchors effectively improved the displacement of greater tuberosity and rotator cuff injury. (2) The patients accompanied by rotator cuff injury accounted for 79.16%. (3) The Constant-Murley Score and the University of California, Los Angeles scores were significantly improved at each time point (P < 0.05). The visual analogue scale scores after fixation were significantly superior to those before fixation (P < 0.05). (4) These results suggest that the double-row suture anchors under arthroscopy can effectively improve the displacement of greater tuberosity and alleviate the pain. Moreover, it is conductive for early recovery of the shoulder function with little trauma, so it is a good choice for avulsion-type greater tuberosity fractures (Mutch type Ⅰ).关键词
骨科植入物/关节植入物/肱骨大结节MutchⅠ型骨折/关节镜/双排缝合锚钉分类
医药卫生引用本文复制引用
刘刚,张磊,汪国友,周鑫,张涛,关钛元,郭晓光,扶世杰..全关节镜下双排缝合锚钉修复肱骨大结节MutchⅠ型骨折的临床分析[J].中国组织工程研究,2017,21(19):3005-3010,6.基金项目
四川省科技支撑计划项目(2014SZ0185) （2014SZ0185）
西南医科大学-西南医科大学附属中医医院联合专项项目(2016-4-4) （2016-4-4）
西南医科大学 2017 年度校级大学生创新创业训练计划项目(2017116) （2017116）
the Key Science and Technology Program of Sichuan Province, No. 2014SZ0185 （）
the Combined Project of Southwest Medical University-Traditional Chinese Medicine Hospital Affiliated to Southwest Medical University, No. 2016-4-4 （）
the Graduate Innovation and Entrepreneur Training Program in Southwest Medical University in 2017, No. 2017116 （）
