| 郭德华,张国福,曾志奎,等.肩关节镜下辅助复位联合双排缝线桥技术治疗肱骨大结节骨折的临床疗效.骨科,2022,13(4): 333-337. |
| 肩关节镜下辅助复位联合双排缝线桥技术治疗肱骨大结节骨折的临床疗效 |
| Clinical Effect of Shoulder Arthroscopic Assisted Reduction Combined with Double Row Suture Bridge in the Treatment of Greater Tubercle Fracture of Humerus |
| 投稿时间：2021-12-01 |
| DOI：10.3969/j.issn.1674-8573.2022.04.009 |
| 中文关键词: 肱骨大结节骨折 双排缝线桥技术 关节镜 |
| 英文关键词: Greater tubercle fracture of humerus Double row suture bridge technology Arthroscopy |
| 基金项目:国家自然科学基金（81860856） |
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| 中文摘要: |
| 目的 探讨肩关节镜下辅助复位联合双排缝线桥技术治疗肱骨大结节骨折的临床疗效。方法 选取2018年1月至2019年12月于江西中医药大学附属医院实施肩关节镜下辅助复位联合双排缝线桥技术治疗肱骨大结节骨折的25例病人作为观察组，另将同期收治的25例行切开复位钢板内固定术治疗肱骨大结节骨折的病人纳入对照组。比较两组病人围手术期相关指标、末次随访关节活动度、术后并发症发生情况及治疗满意度。结果 观察组的术中出血量、住院时间、手术切口长度均显著低于对照组，手术时间、前屈活动度、内旋活动度、外展活动度显著高于对照组，组间比较，差异均有统计学意义（P＜0.05）；两组间的骨折愈合时间、外旋活动度及后伸活动度比较，差异无统计学意义（P＞0.05）。观察组的术后并发症发生率（8%）较对照组（36%）显著降低，差异有统计学意义（χ2=1.264，P=0.024）。观察组的总满意度为96%（24/25），显著高于对照组的80%（20/25），差异有统计学意义（χ2=3.374，P=0.014）。结论 肩关节镜下辅助复位联合双排缝线桥技术治疗肱骨大结节骨折临床疗效确切，值得临床推广应用。 |
| 英文摘要: |
| Objective To investigate the clinical efficacy of arthroscopic assisted reduction combined with double-row suture bridge technique in the treatment of humeral greater tuberosity fracture. Methods From January 2018 to December 2019, 25 patients who underwent arthroscopic assisted reduction combined with double-row suture bridge technology in the treatment of humeral nodules fracture in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine were selected as the observation group, and 25 patients who underwent open reduction and plate fixation in the treatment of humeral nodules fracture in the same period were included in the control group. Perioperative related indicators, range of motion at the last follow-up, postoperative complications and treatment satisfaction were compared between the two groups. Results The intraoperative blood loss, hospitalization time and incision length of the observation group were significantly reduced as compared with those in the control group, and the operation time, flexion activity, rotation activity and abduction activity in the observation group were significantly increased as compared with those in the control group, with the differences between two groups being statistically significant (P＜0.05). There was no significant difference in fracture healing time, external rotation activity and extension activity between the two groups (P＞0.05). The incidence of postoperative complications in the observation group (8%) was significantly lower than that in the control group (36%), and the difference was statistically significant (χ2=1.264, P=0.024). The total satisfaction of the observation group was 96% (24/25), which was significantly higher than 80% (20/25) of the control group, and the difference was statistically significant (χ2=3.374, P=0.014). Conclusion Shoulder arthroscopic assisted reduction combined with double-row suture bridge technology has definite clinical efficacy in the treatment of humeral greater tuberosity fracture, which is worthy of clinical application. |
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