Fleega Basim A N, Kareim Said
Global Orthopedic Clinic (GOC-Giza), Giza, Egypt.
Department of Orthopedic Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Arthrosc Tech. 2021 Feb 18;10(3):e821-e830. doi: 10.1016/j.eats.2020.10.074. eCollection 2021 Mar.
The results of conservative treatment of displaced proximal humerus fractures are not satisfactory. Open reconstruction and rigid internal fixation, as well as arthroscopic-assisted reduction and internal fixation, are possible in selected cases, mostly young patients. Older patients with osteoporotic, comminuted bone accounts for 70% of the cases. We present an arthroscopic reduction and transosseous suture fixation technique for osteoporotic patients with displaced 2-part greater tuberosity fractures of the proximal humerus. The technique reduces the upward and medially displaced greater tuberosity to its anatomic position and uses longitudinal, horizontal, or a mattress suture fixation as single or combined fixation (Natofix technique).
肱骨近端移位骨折的保守治疗效果并不理想。在部分病例中，大多为年轻患者，可行切开复位内固定术以及关节镜辅助下复位内固定术。老年骨质疏松性粉碎性骨折患者占病例的70%。我们介绍一种针对肱骨近端2部分大结节移位骨折的骨质疏松患者的关节镜下复位及经骨缝线固定技术。该技术将向上和向内移位的大结节复位至解剖位置，并采用纵向、水平或褥式缝线固定作为单一或联合固定（纳托固定技术）。
