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关节镜下大结节骨折翻修固定及植入物取出：从开放手术到关节镜手术的方法转变

Revision Arthroscopic Greater Tuberosity Fracture Fixation and Implant Removal: An Open to Arthroscopic Approach.

作者信息

Mhaskar Vikram Arun

机构信息

Department of Orthopaedics, Max Smart Superspeciality Hospital, New Delhi, Knee & Shoulder Clinic, New Delhi, India.

出版信息

Arthrosc Tech. 2021 Feb 15;10(3):e831-e839. doi: 10.1016/j.eats.2020.10.073. eCollection 2021 Mar.

DOI:10.1016/j.eats.2020.10.073
PMID:33738221
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7953265/
Abstract

Failure of a greater tuberosity fracture fixation with screws can lead to stiffness, pain, and weakness of the rotator cuff. Management of a previously performed open greater tuberosity fracture fixation with screws involves implant removal and refixation of the fragment. Doing this arthroscopically in a previously performed open surgery has its own challenges but distinct advantages. Describe herein is a technique for performing this revision surgery arthroscopically.

摘要

使用螺钉固定大结节骨折失败可导致肩袖僵硬、疼痛和无力。处理先前已进行的使用螺钉的开放性大结节骨折固定时，需要取出植入物并重新固定骨折块。在先前的开放性手术基础上通过关节镜进行此项操作有其自身的挑战，但也有明显优势。本文描述的是一种通过关节镜进行该翻修手术的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/14590d44dfbb/gr24.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/cf675ff8b3d5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/fb94ba994994/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/a5983f78dce8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/f8bf25043b65/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/67d25050f249/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/caea3c5e055c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/4a6772d352b5/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/4f06325f1a33/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/7d76529093dc/gr11.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/baa3e4d8a78e/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/98b7a169ba96/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/446270223678/gr17.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/bb563dcc8984/gr19.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/9112fda6350c/gr20.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/2da552a5e8d6/gr21.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/56c6d0396dea/gr22.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/b9937f6719af/gr23.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/14590d44dfbb/gr24.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/accbdc8e4fd5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/d369ec4b15b1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/cf675ff8b3d5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/fb94ba994994/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/a5983f78dce8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/f8bf25043b65/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/67d25050f249/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/caea3c5e055c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/4a6772d352b5/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/4f06325f1a33/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/7d76529093dc/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/fa554e8f88a9/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/d3486e2f97cf/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/6d595087ba4a/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/baa3e4d8a78e/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/98b7a169ba96/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/446270223678/gr17.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/eee3904c8463/gr18.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/bb563dcc8984/gr19.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/9112fda6350c/gr20.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/2da552a5e8d6/gr21.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/56c6d0396dea/gr22.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/b9937f6719af/gr23.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5439/7953265/14590d44dfbb/gr24.jpg

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Is Arthroscopic Technique Superior to Open Reduction Internal Fixation in the Treatment of Isolated Displaced Greater Tuberosity Fractures?
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Clin Orthop Relat Res. 2016 May;474(5):1269-79. doi: 10.1007/s11999-015-4663-5. Epub 2016 Jan 4.
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