Minimally invasive open reduction of greater tuberosity fractures by a modified suture bridge procedure

作     者：Ling-Peng Kong Juan-Juan Yang Fu Wang Fan-Xiao Liu Yong-Liang Yang 

作者机构：Department of OrthopaedicsShandong Provincial Hospital Affiliated to Shandong First Medical UniversityJinan 250021Shandong ProvinceChina Department of RadiotherapyShandong Cancer Hospital and InstituteShandong First Medical University and Shandong Academy of Medical SciencesJinan 250117Shandong ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第1期

页      面：117-127页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：China Scholarship Council,No.201808080126 Incubation Fund of Shandong Provincial Hospital,No.2020FY019 Young Scholars Program of Shandong Provincial Hospital Natural Science Foundation of Shandong Province,No.ZR202102180575 

主　　题：Minimally invasive Greater tuberosity fracture Open reduction Suture bridge Anchor 

摘      要：BACKGROUND Most greater tuberosity fractures can be treated without surgery but some have a poor *** surgical procedures for avulsion fractures of the humeral greater tuberosity include screw fixation,suture anchor fixation,and plate fixation,all of which have treatment-associated *** decrease surgical complications,we used a modified suture bridge procedure under direct vision and a minimally invasive small incision to fix fractures of the greater tuberosity of the *** To investigate the clinical efficacy and outcomes of minimally invasive modified suture bridge open reduction of greater tuberosity evulsion *** Sixteen patients diagnosed between January 2016 and January 2019 with an avulsion-type greater tuberosity fracture of the proximal humerus and treated by minimally invasive open reduction and modified suture bridges with anchors were studied *** were followed up by clinical examination and radiographs at 3 and 6 wk,3,6 and 12 mo after surgery,and thereafter every 6 *** were assessed preoperatively and postoperatively by a visual analog scale(VAS),the University of California Los Angeles(UCLA)shoulder score,the American Shoulder and Elbow Surgeon score(ASES),and range of motion(ROM)for *** Seven men and nine women,with an average age of 44.94 years,were *** time between injury and surgery was 1-2 d,with an average of 1.75 *** mean operation time was 103.1±7.23 *** patients achieved bone union within 3 mo after *** scores were significantly decreased(P=0.002),and the mean degrees of forward elevation(P=0.047),mean degrees of abduction(P=0.035),ASES score(P=0.092)were increased at 3 *** UCLA score was increased at 6 wk(P=0.029)after *** average degrees of external rotation and internal rotation both improved at 3 mo after surgery(P=0.012 and P=0.007,respectively).No procedure-related deaths or incision-related superficial or deep tissue infectio