锁定钢板内固定与关节镜下双排锚钉缝合桥技术治疗肱骨大结节撕脱骨折的疗效对比研究  

Comparative Study on the Efficacy of Locking Plate Internal Fixation and Arthroscopic Double-Row Anchor Suture Bridge Technique in the Treatment of Avulsion Fracture of Greater Tuberosity of Humerus

作　　者：陆英超 陈向阳 冯硕 袁斌 陆博 LU Ying-chao;CHEN Xiang-yang;FENG Shuo;YUAN Bin;LU Bo(The First Clinical Medical College of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China;Department of Orthopaedics,Xinyi People's Hospital,Xinyi,Jiangsu,221400,China;Department of Orthopaedics,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州医科大学第一临床医学院,江苏徐州221000 [2]江苏省新沂市人民医院骨科,江苏新沂221400 [3]徐州医科大学附属医院骨科,江苏徐州221000

出　　处：《现代生物医学进展》2024年第11期2120-2124,共5页Progress in Modern Biomedicine

基　　金：江苏省老年健康科研项目(LX2021010)。

摘　　要：目的:对比肱骨大结节撕脱骨折分别采用关节镜下双排锚钉缝合桥技术、锁定钢板内固定后的疗效。方法:按照治疗方法的不同,将74例肱骨大结节撕脱骨折患者分为A组(锁定钢板内固定治疗,n=35)和B组(关节镜下双排锚钉缝合桥技术,n=39)。对比两组美国肩肘外科医师评分(ASES)、肩关节活动度、视觉模拟评分(VAS)、围手术期相关指标、美国加州洛杉矶大学功能评分(UCLA)、术后并发症。结果:两组骨折愈合时间及并发症发生率组间对比未见差异(P>0.05)。B组术中出血量少于A组,住院时间短于A组,手术时间长于A组(P<0.05)。B组术后VAS评分较A组更低,ASES、UCLA评分高于A组(P<0.05)。B组术后后伸、前屈、外展、内收活动度大于A组(P<0.05)。结论:与锁定钢板内固定治疗肱骨大结节撕脱骨折相比,关节镜下双排锚钉缝合桥技术手术时间偏长,但其在减轻患者术后疼痛、改善肩关节功能、扩大肩关节活动度方面更具优势。Objective:To compare the effects of arthroscopic double-row anchor suture bridge technique and locking plate internal fixation on avulsion fracture of greater tuberosity of humerus.Methods:According to the different treatment methods,74 patients with avulsion fracture of greater tuberosity of humerus were divided into group A(locking plate internal fixation,n=35)and group B(arthroscopic double-row anchor suture bridge technique,n=39).The American shoulder and elbow surgeon score(ASES),shoulder joint mobility,visual analogue scale(VAS),perioperative indicators,University of California Los Angeles functional score(UCLA)and postoperative complications were compared between two groups.Results:There was no difference in fracture healing time and complication rate between two groups(P>0.05).The intraoperative blood loss in group B was less than that in group A,the hospitalization time was shorter than that in group A,and the operation time was longer than that in group A(P<0.05).The postoperative VAS score in group B was lower than that in group A,and the ASES and UCLA scores were higher than those in group A(P<0.05).The range of motion of extension,flexion,abduction and adduction in group B was greater than that in group A(P<0.05).Conclusion:Compared with locking plate internal fixation for the treatment of avulsion fracture of greater tuberosity of humerus,arthroscopic double-row anchor suture bridge technique has longer operation time,but it has more advantages in reducing postoperative pain,improving shoulder joint function and expanding shoulder joint mobility.

关 键 词：肱骨大结节撕脱骨折 双排锚钉缝合桥技术 关节镜 锁定钢板内固定 疗效 

分 类 号：R683.41[医药卫生—骨科学]