A clinical analysis of small incision through the deltoid muscle with double-row suture anchor fixtion versus proximal humerus anatomical plate for the treatment of avulsion fracture
WANG Yao
CAO Lie-hu
CHEN Xiao
PAN Si-hua
CUI Jin
JIANG Hao
WANG Ya-jun
ZHOU Qi-rong
CHEN Hui-wen
SU Jia-can
Abstract：Objective To compare the differences in the operation time, postoperative shoulder mobility, functional scores and postoperative complications between the small incision double-row suture anchor and the proximal humerus anatomical plate. Methods From January 2014 to January 2017, a retrospective analysis of51 patients with avulsion fracture of the humeral greater tuberosity admitted to our hospital was performed. According to the treatment method, all patients were divided into the double-row anchor group ( n = 23) and the proximal humerus anatomical plate group ( n = 28). The operation time, intraoperative blood loss, postoperative shoulder mobility, postoperative Constant Shoulder function score, the American Shoulder and Elbow Surgeons ( ASES) score, and visual analogue scale ( VAS) were compared between the 2 groups, and the incidence of postoperative complications in both groups was recorded. Results All patients got bone healing within 3 months after surgery. There were no significant differences in age ( P = 0.632), gender distribution ( P = 0.964), injury mechanism ( P = 0.795), and injury to surgery time ( P = 0.127) between the 2 groups. Blood loss in the double-row anchor group ( 50.7 ±20.6) ml was significantly less than the anatomical plate group ( 100.9 ± 30.1) ml ( P = 0.000), but there were no significant differences in the operation time between the 2 groups ( P = 0.418); Shoulder joint mobility, VAS score ( P = 0.000), Constant score ( P = 0.002) and ASES scores ( P = 0.003) in the double-row anchor group were better than the anatomical plate group, and less postoperative complications occurred. Conclusions Treatment of avulsion fracture of the humerus greater tuberosity with small incision double-row anchor nail fixation is less invasive with good postoperative function recovery and less postoperative complications. It is a surgical procedure worthy of clinical promotion.
Keywords：Shoulder fracturesFracture fixationOpen fracture reductionTreatment outcome
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 165-170 )