2023 ISAKOS Biennial Congress ePoster
Arthroscopic Repair of Displaced Greater Tuberosity Fractures: Outcomes and Radiographic Consolidation
Pablo A. Narbona, MD, La Calera , Córdoba ARGENTINA
Martin Vaquer, Md, Cordoba, Cordoba ARGENTINA
Manuel Olmos, MD, Córdoba ARGENTINA
Rafael Norberto Martinez Gallino, MD, Cordoba, Córdoba ARGENTINA
Gabriel Arce, MD, Córdoba, Córdoba ARGENTINA
Guillermo Ruffini, Cordoba ARGENTINA
Nicolas Ignacio Carranza, MD, Córdoba, Córdoba ARGENTINA
Sanatorio Allende, Cordoba, Cordoba, ARGENTINA
FDA Status Not Applicable
Summary
Arthroscopic repair of displaced greater tuberosity fractures with double row anchors fixation showed satisfactory functional results, with consolidation of the fracture, allowing patients good recovery with early mobilityA
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Abstract
Introduction
Greater tuberosity fractures represent 20% of proximal humerus fractures. Displaced greater tuberosity fractures become complex to treat, and can lead to chronic pain and decreased function of the shoulder. Arthroscopic repair technique with anchors provides excellent fixation while identify any additional injuries, to treat them.
The purpose of this paper is to analyze functional and radiographic results in patients with greater tuberosity fracture treated by arthroscopy technique with anchors.
Materials And Methods
Retrospective study that included 17 patients diagnosed with greater tuberosity fracture displaced 5 mm or more, treated by arthroscopic fixation with anchors. Postoperative results were evaluated using radiographs, 3 functional scores (ASES, SST, UCLA), and range of motion.
Results
The average age at diagnosis was 52.2 years. Arthroscopic reduction was anatomicin all patients. All fractures showed signs of radiographic union between 6 and 8 weeks. The active range of motion 6 months after surgery was on average 153° of flexion, 117° of abduction, 53° of external rotation and internal rotation at T10. The ASES score resulted in an average score of 93.9 at 10 months of follow-up, while the Simple Shoulder Test was 10.6 and UCLA was 33. No complications related to surgery were detected.
Conclusion
In this cases series, the method of arthroscopic repair of displaced greater tuberosity fractures with double row anchors fixation showed satisfactory functional results, with consolidation of the fracture, allowing patients good recovery with early mobility.
Type of Study: Retrospective.
Level of evidence: IV.
Key words: Greater tuberosity fractures, Arhtroscopic Repair technique,