Clinical Application of Different Surgical Methods in the Treatment of Dislocation of Shoulder Joint Combined with Fracture of Greater Tuberosity of Humerus
10.16753/j.cnki.1008-2344.2016.04.010
- VernacularTitle:不同手术方法治疗肩关节脱位合并肱骨大结节撕脱骨折的临床观察
- Author:
Guotian LI
1
Author Information
1. 广州市中西医结合医院骨伤科一区
- Keywords:
shoulder joint;
dislocation;
greater tuberosity of humerus;
fractures;
surgical treatment
- From:
Journal of Shenyang Medical College
2016;18(4):256-258
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the value of three surgical methods in the treatment of dislocation of shoulder joint combined with fracture of greater tuberosity of humerus. Methods: A total of 75 cases of shoulder joint combined with fracture of greater tuberosity of humerus in our hospital from Jul 2012 to Mar 2014 were randomly divided into 3 groups,each with 25 cases. Patients in group A received antero-lateral approach with absorption nail treatment, group B with antero-lateral approach with mini-plate treatment, and group C with anteriomedialis of shoulder approach with anatomy plate treatment. Clinical data in 3 groups were analyzed. Results: Incision length , operation time and intraoperative hemorrhage in group A and group B were not statistically significant (P>0.05), and compared with group C, incision length was smaller, operation time was shorter, intraoperative hemorrhage was less (P<0.05) .At 24 months after surgery, the incidence rate of subacromial impingement in group A and B was lower than that in group C (P<0.05) . There was no significant difference in fracture healing time between the three groups (P>0.05) .Conclusions:Antero-lateral approach is a simple method with less trauma. Absorbable screws and mini-plate can effectively fix fracture of greater tuberosity of humerus. The suitable surgical approach and internal-fixation should be selected according to fracture morphous.
