Hospital Beatriz Ângelo, Avenida Carlos Teixeira 514, 2674, Loures, Portugal.
Hospital da Luz de Lisboa, Lisbon, Portugal.
Eur J Orthop Surg Traumatol. 2024 Nov 23;35(1):22. doi: 10.1007/s00590-024-04152-w.
This study aimed to assess whether higher values of GTA after osteosynthesis of isolated greater tuberosity fractures were associated with worse functional and symptomatic outcomes.
A retrospective analysis was conducted from 2012 to 2024, including all patients with isolated greater tuberosity fractures undergoing osteosynthesis at a single institution. GTA measurements before and after osteosynthesis were recorded, along with the latest QuickDash score and constant shoulder score.
Thirty-four patients were recruited, with 25 undergoing osteosynthesis with cannulated screws and eight with anchors. Twenty-two patients self-administered the QuickDash score and completed the constant shoulder score. The average GTA before surgery was 84.2°, reducing to 62.2° post-surgery. The average constant score was 86.8, and the mean QuickDash score was 7.65. The method of osteosynthesis did not significantly influence GTA or the QuickDash and constant scores. Additionally, post-surgery GTA negatively correlated with the constant score (r = - 0.65, p < 0.01).
Patients with isolated greater tuberosity fractures undergoing osteosynthesis experience a change in GTA after surgery. However, they achieved satisfactory symptomatic and functional scores post-surgery. The method of osteosynthesis did not significantly influence the GTA or the QuickDash and constant scores. Furthermore, post-surgery GTA negatively correlated with the constant score.
本研究旨在评估孤立性大结节骨折内固定术后 GTA 值较高是否与较差的功能和症状结果相关。
回顾性分析 2012 年至 2024 年期间在一家机构接受单纯大结节骨折内固定术的所有患者。记录内固定术前和术后的 GTA 测量值，以及最新的 QuickDash 评分和Constant 肩评分。
共纳入 34 例患者，其中 25 例行空心螺钉内固定，8 例行锚钉固定。22 例患者自行进行了 QuickDash 评分并完成了 Constant 肩评分。手术前的平均 GTA 为 84.2°，术后降至 62.2°。平均 Constant 评分为 86.8，平均 QuickDash 评分为 7.65。内固定方法对 GTA 以及 QuickDash 和 Constant 评分没有显著影响。此外，术后 GTA 与 Constant 评分呈负相关（r=-0.65，p<0.01）。
接受单纯大结节骨折内固定术的患者术后 GTA 发生变化。然而，他们在术后获得了满意的症状和功能评分。内固定方法对 GTA 以及 QuickDash 和 Constant 评分没有显著影响。此外，术后 GTA 与 Constant 评分呈负相关。
