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关节镜治疗大结节骨折:临床及影像学结果的回顾性分析

Arthroscopic treatment of greater tuberosity fractures : retrospective review of clinical and radiological outcomes.

作者信息

Choi Sungwook, Son Inseok, Hyun Myung Jae, Bae Jong-Hwan, Kang Hyunseong

出版信息

Acta Orthop Belg. 2018 Mar;84(1):47-53.

Abstract

The purpose of this retrospective study was to analyze the clinical and radiological outcomes and discuss the value of arthroscopic suture bridge technique in patients with isolated greater tuberosity fractures. Between October 2009 and July 2014, 37 patients with greater tuberosity fractures were analyzed. Thirteen of these patients were treated with arthroscopic reduction and fixation. Analysis of the clinical outcome was performed by comparing final range of motion, UCLA and Constant score. Radiological outcome was analyzed with time for union. Postoperative results were analyzed by range of motion, UCLA and constant score. Each figure resulted as: UCLA from 27 to 35 (average: 29); range of motion in forward flexion from 160° to 180° (average: 173°); Constant score from 69 to 100 (average: 73). Using arthroscopic treatment with a suture-bridge technique can be a useful method in terms of clinical and functional outcomes and be considered as a viable alternative to conventional open techniques.

摘要

本回顾性研究的目的是分析临床和影像学结果,并探讨关节镜下缝线桥技术在单纯性大结节骨折患者中的应用价值。2009年10月至2014年7月期间,对37例大结节骨折患者进行了分析。其中13例患者接受了关节镜下复位和内固定治疗。通过比较最终活动范围、UCLA评分和Constant评分来分析临床结果。通过愈合时间来分析影像学结果。通过活动范围、UCLA评分和Constant评分来分析术后结果。各项数据如下:UCLA评分从27分至35分(平均:29分);前屈活动范围从160°至180°(平均:173°);Constant评分从69分至100分(平均:73分)。就临床和功能结果而言,采用关节镜下缝线桥技术进行治疗可能是一种有效的方法,并且可被视为传统开放技术的一种可行替代方案。

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