Effect analysis of suture bridge with minimally invasive incision in the treatment of humeral greater tuberosity fractures
Objective:To compare the clinical efficacy of suture bridge by anterolateral approach of shoulder joint and plate fixation by deltoide-pectoralis major approach in the treatment of humeral greater tuberosity fractures.Methods:A retrospec-tive analysis was performed on 40 cases of humeral greater tuberosity fractures from January 2019 to January 2024.According to the surgical approach and internal fixation method,they were divided into suture bridge group(n=18)and plate group(n=22).The suture bridge group was treated with suture bridge by anterolateral approach of shoulder joint,while the plate group was treated with plate fixation by deltoide-pectoralis major approach.Incision length,blood loss,operation time,hospital stay,visual analogue scale(VAS)1 day after surgery and shoulder joint function Neer score were statistically compared between the two groups,and adverse reactions were recorded in the two groups.Results:Compared with the plate group,incision length was shorter,intraoperative blood loss,operative time and hospital stay were less,VAS at 1 day after surgery was lower,and the shoulder joint function Neer score at 1,3 months and the last follow-up was higher in the suture bridge group,with statis-tical significance(P＜0.05).The incisions in both groups healed by first intention without nerve injury,and X-ray images of half a year postoperative follow-up showed good fracture healing.There were 3 cases of cephalic vein injury and 4 cases of subacromial impingement complications in the plate group.Conclusion:The use of minimally invasive small incision combined with suture bridge technique in the treatment of humeral greater tuberosity fractures is a minimally invasive and effective treatment with less trauma,fewer complications,better postoperative pain relief and shoulder joint function recovery.
万方数据
维普
