(组稿)关节镜下编织带缝线桥固定技术治疗肱骨大结节骨折
DOI:
作者:
作者单位:

解放军总医院海南医院

作者简介:

通讯作者:

中图分类号:

R683

基金项目:

2020年军事训练伤防治研究任务(20XLS39)


Retrospective Study of Arthroscopic FiberTape Suture Bridge Fixation of the Greater Tuberosity Fractures of the Proximal Humerus
Author:
Affiliation:

Hainan Hospital of PLA General Hospital

Fund Project:

Research Task of injury Prevention and treatment in military training in 2020

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    摘要:【目的】探讨关节镜下撬拨复位,编织带缝线桥固定技术治疗肱骨大结节骨折的疗效。【方法】回顾性研究2019年3月-2021年1月收治肱骨大结节骨折12例,采用关节镜下撬拨复位,编织带缝线桥固定技术治疗肱骨大结节骨折的疗效。10例患者获得随访,其中男性8例,女性2例;平均年龄22-59岁,平均47.3岁。致伤原因:高处坠落伤4例,交通事故致伤3例,军事运动损伤3例。左肩4例,右肩6例。【结果】随访时间13-28个月,平均18.5个月。平均手术时间为55-130分钟,平均78分钟;本组无神经血管损伤,无感染等并发症。末次随访时,ASES评分89.3±3.2分(范围85-100分),Constant评分93±4.6分(范围88-97分),VAS评分0.8±0.3分(范围0-1分)。所有病例术后进行X线检查其中9例骨折解剖复位,1例骨折块轻度移位,因不影响功能未再手术。X平片显示骨性愈合。【结论】关节镜下撬拨解剖复位后,采用编织带缝线桥微创技术固定治疗肱骨大结节骨折创伤小,固定方式可靠,不切割肩袖组织,无需再手术内植物取出,术后疗效显著。

    Abstract:

    Abstract: [Objective] To evaluate the effect of arthroscopic FiberTape suture bridge fixation of the greater tuberosity fractures of the proximal humerus. [Methods] Between March 2019 and January 2021, 12 cases of greater tuberosity fractures of the proximal humerus were treated with arthroscopic FiberTape suture bridge fixation technique. 10 patients were followed up, including 8 males and 2 females, with an average age of 47.3 years (range from 22 to 59 years). The causes of injury were 4 cases of falling from height, 3 cases of traffic accident and 3 cases of military sports injury. There were 4 cases of left shoulder and 6 cases of right shoulder. [Results] The follow-up period ranged from 13 to 28 months (mean 18.5 months). The average operation time was 55-130 minutes, with an average of 78 minutes. There was no neurovascular injury, no infection and other complications. At the last follow-up, the mean American Shoulder and Elbow Surgeon score (ASES) was 89.3±3.2(range: 85-100), the mean Constant score was 93±4.6(range: 88-97), and the mean VAS pain score were 0.8 ±0.3 (range 0-1). Among 10 cases, 9 had anatomic reduction of fractures and 1 had slight displacement of fracture fragments with no re-operation. Bony healing was obtained in all cases. [Conclusion] The arthroscopic FiberTape suture bridge fixation technique was effective for the treatment of greater tuberosity fractures of the proximal humerus with less trauma, reliable fixation, no cutting of rotator cuff and no need for re-operative implant removal.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2022-05-17
  • 最后修改日期:2022-05-17
  • 录用日期:2022-09-02
  • 在线发布日期:
  • 出版日期: