关节镜缝合桥技术治疗老年骨质疏松患者肱骨大结节陈旧性骨折的疗效分析

Clinical efficacy of arthroscopic suture bridge technique for the treatment of senile osteoporotic fractures of the greater tuberosity of humerus

摘要:

分析关节镜缝合桥技术在老年骨质疏松患者肱骨大结节陈旧性骨折治疗中的效果。方法 回顾性分析2016年1月－2018年1月采用关节镜缝合桥技术治疗的老年骨质疏松肱骨大结节陈旧性骨折患者18例，术后定期随访6个月～1年，评价患者术前术后视觉模拟评分（VAS评分）、前屈上举、外展上举、外展外旋活动度和美国肩肘外科协会评分（ASES），采用独立样本t检验，评估手术疗效。结果 所有患者的骨折均骨性愈合，无内固定松动表现。VAS评分由术前（6.83±1.34）分降低至术后（1.39±0.70）分，ASES评分由术前（42.26±10.32）分升高至术后（88.95±3.78）分，外展上举、前屈上举和外展外旋功能较术前明显改善，差异均有统计学意义（P <0.05）。结论 缝合桥技术在老年骨质疏松患者肱骨大结节陈旧性骨折运用中只要操作得当，可以取得良好的手术效果。

Abstract:

To explore the clinical effect of double-row suture-bridge technology on senile patients with osteoporosis in treating the avulsed fracture of humeral great tuberosity. Methods 18 senile patients with the avulsed fracture of humeral great tuberosity who had osteoporosis were treated with double-row suture-bridge technology from January 2016 to January 2018. They were followed from 6 months to 1 year and evaluated retrospectively the ROM of lift on forward, lift on abduction and outward rotation on abduction as well pre-operation and post-operation respectively. Meanwhile, the VAS score and ASES score were also evaluated respectively. Independent sample t test was used to evaluate the data. Results All these cases were healing without loosening of internal fixation and VAS score decreased from (6.83 ± 1.34) before surgery to (1.39 ± 0.70) after surgery as well as ASES score increased from (42.26 ± 10.32) before surgery to (88.95 ± 3.78) after surgery. The ROM above were all improved after surgery. It is statistically significantly. Conclusion It has excellent effect of the double-row suture-bridge technology on senile patients with osteoporosis in treating the avulsed fracture of humeral great tuberosity if you prepare it sufficiently.