Klabklay Prapakorn, Wuttimanop Watit, Iemsaengchairat Chavalit, Chuaychoosakoon Chaiwat
Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Department of Orthopedics, Nakhonpathom Hospital, Mueang, Nakhon Pathom, Thailand.
Arthrosc Tech. 2021 Jan 20;10(1):e171-e175. doi: 10.1016/j.eats.2020.09.027. eCollection 2021 Jan.
The proximal humerus fracture is common in both adult and elderly patients, with an incidence of approximately 5%, of whom about 1 in 4 is treated operatively. To achieve the healing of the fracture, the operative technique is combined with an internal fixation by a locking plate and tension band rotator cuff sutures by passing the sutures through each eyelet hole of the plate and tightening them. The tension band rotator cuff sutures provide good functional and radiographic outcomes in cases of proximal humerus fracture. The surgeons normally pass a rotator cuff suture through each eyelet hole using a curved needle which can pass only one suture in one eyelet hole. We propose a shuttle suture technique to easily pass the rotator cuff sutures through the eyelet holes of the locking plate.
肱骨近端骨折在成年和老年患者中都很常见，发病率约为5%，其中约四分之一的患者接受手术治疗。为实现骨折愈合，手术技术是将锁定钢板内固定与张力带肩袖缝合相结合，即将缝线穿过钢板的每个小孔并收紧。张力带肩袖缝合在肱骨近端骨折病例中可提供良好的功能和影像学结果。外科医生通常使用弯针将肩袖缝线穿过每个小孔，而一根弯针在一个小孔中只能穿过一根缝线。我们提出一种穿梭缝合技术，以便轻松地将肩袖缝线穿过锁定钢板的小孔。
