改良缝线桥技术治疗移位肱骨大结节骨折
Treatment of fracture of greater tuberosity of humerus with modified suture bridge technique
姚保兵 1尹成国 1孙秀梅2
作者信息
- 1. 济南市第三人民医院手及上肢外科,山东济南 250132
- 2. 济南市第七人民医院,山东济南 250101
- 折叠
摘要
目的 探讨改良缝线桥技术治疗肱骨大结节骨折的临床效果.方法 分析2019年3月-2022年1月采用改良缝线桥技术治疗并获得随访的21例肱骨大结节骨折病例资料.其中单纯缝线桥固定15例,缝线桥+空心螺钉固定6例.结果 术后21例随访8～24个月,平均12个月,骨折均骨性愈合.肩关节功能活动:前屈上举130°～180°,体侧外旋50°～80°,体侧内旋T5～T10.结论 改良缝线桥技术治疗肱骨大结节骨折具有固定牢固,愈合快,早期功能训练,不需二次取内固定的优点,适合基层医院开展.
Abstract
Objective To investigate the clinicle effect of greater tuberosity fracture of humerus treated with modified suture-bridge technique.Methods From March 2019 to January 2022,21 cases with great tuberosity fracture who were treated with modified suture-bridge technique were retrospectively analyzed.15 patients were treated only using suture-bridge anchor fixation and 6 patients were treated using combination technique with suture-bridge and annulated screw fixation.Results The 21 patients were followed up for an anaverage period of 12 months(8-24 months).The X-ray showed that the fracture of the great tuberosity of humerus got osseous union,None of the re-displacement and implant failure.Shoulder joint activity:lift on the proneness of motion 130°-180°,erternal rotation 50°-80°,and internal rotation T5-T10.Conclusion The modified suture-bridge technique can achieve stable fixation,promote fracture healing,which is conductive to early shoulder functional exercise,Basic level hospitals can also carry it out.
关键词
锚钉/肱骨/骨隧道Key words
Anchor/Humerus/Medullary canal引用本文复制引用
出版年
2024
NETL
NSTL
万方数据