Department of Joint and Sports Medicine Surgery, The People's Hospital of Guangxi Zhuang Autonomous Region & Guangxi Academy of Medical Sciences, Nanning, China.
Department of orthopedics, Minhang District Central Hospital Affiliated to Fudan University, Shanghai, China.
J Orthop Surg (Hong Kong). 2024 May-Aug;32(2):10225536241254913. doi: 10.1177/10225536241254913.
Different techniques have been described for glenoid fractures, there is still a need for safe and effective agents to promote outcomes. From January 2016 to April 2021, the clinical data of 17 patients with pulley type IA fractures treated by the V-shaped fixation technique under shoulder arthroscopy were retrospectively analyzed. Preoperative X-ray, CT, and MRI examinations were completed. The functional score of the shoulder joint, such as the visual analog scale (VAS), Constant score, and Modified Rowe score, was used to evaluate the preoperative and final follow-up clinical outcomes. The active shoulder range of motion (ROM) was also collected preoperatively and at the final postoperative follow-up. Accordingly, intraoperative and postoperative complications were also observed. The mean follow-up was 49.52 months (16-79 months). The patients' follow-up exams showed that shoulder joint flexion, abduction, external rotation, internal rotation, and pain were not significantly different from those of the contralateral side ( > .05). The mean Constant score was 83.52 (58-98), and the average Modified Rowe score was 94.29 (70-100). X-ray and CT films of all cases showed good healing without articular depression or steps. Three patients had traumatic arthritis, with VAS <3 pain. No postoperative complications, such as infections, nerve or vessel damage, or suture anchor problems occurred during the follow-up period. Using the Double-pull, V-shaped fixation technique can stabilize the reduction of glenoid fractures while reducing the possibility of bone destruction. It is a good solution and provides an opportunity to treat rotator cuff tears associated with the procedure.
对于肩盂骨折，已经有多种技术进行了描述，但仍需要安全有效的药物来促进治疗效果。回顾性分析了 2016 年 1 月至 2021 年 4 月期间 17 例肩锁关节镜下 V 形固定技术治疗的 I 型 A 型滑轮骨折患者的临床资料。完成了术前 X 线、CT 和 MRI 检查。采用视觉模拟评分（VAS）、Constant 评分和改良 Rowe 评分等肩关节功能评分来评估术前和最终随访的临床结果。还收集了术前和最终术后随访时的肩关节主动活动范围（ROM）。观察了术中及术后并发症。平均随访时间为 49.52 个月（16-79 个月）。患者的随访检查显示，肩关节的屈曲、外展、外旋、内旋和疼痛与对侧相比无明显差异（>0.05）。Constant 评分平均为 83.52（58-98），改良 Rowe 评分平均为 94.29（70-100）。所有病例的 X 线和 CT 片均显示良好愈合，无关节凹陷或台阶。3 例患者出现创伤性关节炎，VAS<3 疼痛。随访期间无感染、神经或血管损伤或缝线锚钉问题等术后并发症。使用双拉，V 形固定技术可以稳定肩盂骨折的复位，同时降低骨破坏的可能性。这是一种很好的解决方案，并为治疗与手术相关的肩袖撕裂提供了机会。
