Comparison Study Among Three Surgical Methods in the Treatment of Isolated Fractures of the Greater Tuberosity of the Humerus

作者：Fulin Tao, Lin Li, Dawei Wang, Jinlei Dong, Dongsheng Zhou, Wenhao Song · 发表于：Therapeutics and Clinical Risk Management · 年份：2024 · DOI：10.2147/tcrm.s455379 · 被引用次数：6 · 研究领域：Shoulder Injury and Treatment、Shoulder and Clavicle Injuries、Elbow and Forearm Trauma Treatment

Introduction: This study aimed to compare the efficacy of three methods for isolated greater tuberosity fractures of the humerus. Methods: A retrospective review of patients with isolated humeral greater tuberosity fractures between January 2013 and June 2021 in our institution. We recorded data on patient demographics, injury characteristics, preoperative and postoperative imaging findings, length of incision, operative time, and intraoperative blood loss. Results: A total of 107 patients met the inclusion criteria and were divided into three groups. 50 patients in group A were administered a proximal humeral internal locking system (PHILOS) plate fixed using the deltopectoral approach, 26 patients in group B were administered a PHILOS plate fixed using the deltoid-splitting approach, and 31 patients in group C were administered a novel anatomical plate fixed using the deltoid-splitting approach. No significant differences were identified in sex, age, injury mechanism, type of fracture, dominant side limb, or shoulder anterior joint dislocation. However, the operative time, blood loss, and the length of incision was shorter than in Group C. Moreover, pain was evaluated on the third and fifth days after surgery; pain was lower in Group C, and pain at the last follow-up was not different between the groups. No significant differences were identified in the Constant score, DASH score, and ROM at the last follow-up. 2 patients were diagnosed with subacromial impingement, 1 in Gr...