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Clinical outcomes of minimally invasive open reduction and internal fixation by screw and washer for displaced greater tuberosity fracture of the humerus

Authors
 Tae-Hwan Yoon  ;  Chong-Hyuk Choi  ;  Yun-Rak Choi  ;  Jong-Taek Oh  ;  Yong-Min Chun 
Citation
 Journal of Shoulder and Elbow Surgery, Vol.27(6) : e173-e177, 2018 
Journal Title
 Journal of Shoulder and Elbow Surgery 
ISSN
 1058-2746 
Issue Date
2018
Keywords
Greater tuberosity fracture ; immobilization ; minimally invasive ; open reduction ; postoperative stiffness ; screw and washer
Abstract
BACKGROUND: The purpose of this study was to investigate clinical and radiologic outcomes of open reduction and internal fixation with a screw and washer for a displaced greater tuberosity fracture of the proximal humerus through a small incision. METHODS: We retrospectively reviewed 29 patients who underwent open reduction and internal fixation with a screw and washer for a greater tuberosity fracture of the proximal humerus. After surgery, the patients were immobilized in a brace for 4 weeks. To determine clinical outcomes, we evaluated a visual analog scale pain score; the Subjective Shoulder Value; the University of California, Los Angeles shoulder score; the American Shoulder and Elbow Surgeons score; and active range of motion. RESULTS: All patients achieved bone union within 3 months after surgery. At the 2-year follow-up, the mean visual analog scale pain score was 1.1 +/- 1.1; Subjective Shoulder Value, 93.4 +/- 5.3; University of California, Los Angeles shoulder score, 31.2 +/- 2.7; and American Shoulder and Elbow Surgeons score, 92.6 +/- 6.7. Mean active forward flexion, external rotation, and internal rotation were 144 degrees +/- 16 degrees , 33 degrees +/- 11 degrees , and 13.3 +/- 1.7, respectively. Postoperatively, 9 patients (31%) had stiffness and pain refractory to conservative treatment and underwent arthroscopic release. CONCLUSION: Although minimal open reduction and screw and washer fixation resulted in bone union in all cases, the incidence of postoperative stiffness was relatively high in patients with displaced greater tuberosity fractures because of prolonged immobilization after surgery.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162463
Full Text
https://www.sciencedirect.com/science/article/pii/S1058274617307760
DOI
10.1016/j.jse.2017.11.029
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실)
Yonsei Authors
오종택(Oh, Jong Taek)
윤태환(Yoon, Tae Hwan)
천용민(Chun, Yong Min)
최윤락(Choi, Yun Rak)
최종혁(Choi, Chong Hyuk)
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