Department of Orthopedics, Sanmen People's Hospital.
Department of Orthopedics, The Second Affiliated Hospital of Zhejiang Chinese Medical University.
J Vis Exp. 2024 Jul 12(209). doi: 10.3791/66384.
Greater tuberosity fractures of the humerus can be challenging to manage due to their complex anatomy and the potential for compromised shoulder function. We present a novel technique for treating greater tuberosity fractures utilizing specialized anatomical plates and rotator cuff reinforcement. The technique involves the use of an anatomically T-shaped plate designed specifically for the greater tuberosity region of the humerus, allowing for precise fixation and stability. Additionally, rotator cuff reinforcement is performed using sutures to enhance structural integrity and promote early mobilization. The simplified process is as follows: After administering anesthesia, a 3 cm incision is made along the lateral aspect of the shoulder to precisely expose the fracture site of the greater tuberosity. A suture of size 5 is skillfully threaded through the tough rotator cuff tendon to securely attach the proximal humerus to the anatomical plate after the greater tuberosity has been reduced. Intraoperative fluoroscopy is utilized to verify the accurate positioning of plates and screws. After ensuring everything is correct, the surgery concludes.
肱骨大结节骨折因其复杂的解剖结构和潜在的肩部功能受损而难以处理。我们提出了一种利用专门的解剖钢板和肩袖加强来治疗大结节骨折的新方法。该技术涉及使用专门设计用于肱骨大结节区域的解剖 T 形钢板，以实现精确固定和稳定性。此外，使用缝线进行肩袖加强，以增强结构完整性并促进早期活动。简化过程如下：麻醉后，在肩部外侧沿 3 厘米切口，准确暴露大结节骨折部位。在大结节复位后，将 5 号缝线巧妙地穿过坚韧的肩袖肌腱，将肱骨近端固定到解剖钢板上。术中透视用于验证钢板和螺钉的准确位置。确认一切正确后，手术结束。
