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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
Author(s):
Chung K. (South Korea (ROK))
,
Chung K. (South Korea (ROK))
Affiliations:
Yoon T.
,
Yoon T.
Affiliations:
Woo C.
,
Woo C.
Affiliations:
Jang J.
,
Jang J.
Affiliations:
Moon H.
,
Moon H.
Affiliations:
Chun Y.
,
Chun Y.
Affiliations:
Choi C.
Choi C.
Affiliations:
ESSKA Academy. Chung K. May 9, 2018; 209253; P02-988 Topic: Open Surgery
Kwangho Chung
Kwangho Chung
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Abstract
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Objectives: The purpose of this study was to investigate clinical and radiologic outcomes of open reduction and internal fixation with screw and washer for displaced greater tuberosity fracture of the proximal humerus through small incision.

Methods: We retrospectively reviewed 32 patients who underwent open reduction and internal fixation with screw and washer for greater tuberosity fracture of the proximal humerus. After surgery, the patients were immobilized in a brace for four weeks. A visual analog scale pain score, subjective shoulder value, University of California-Los Angeles shoulder score, American Shoulder and Elbow Surgeons score, and active range of motion were evaluated to determine clinical outcome.

Results: All patients achieved bone union within three months after surgery. At the two-year follow-up, the mean visual analog scale pain score, subjective shoulder value, University of California-Los Angeles shoulder score, and American Shoulder and Elbow Surgeons score were 1.1±1.0, 93.1±5.1, 31.5±2.9, and 92.5±6.9, respectively. The mean active forward flexion, external rotation, and internal rotation were 143.5±16.8°, 32.5±10.2°, and 13.5±1.8, respectively. Ten patients (31.3%) had postoperative stiffness and pain refractory to conservative treatment and underwent arthroscopic release.

Conclusions: Open reduction and internal fixation with screw and washer for greater tuberosity fracture yielded satisfactory outcomes, but postoperative stiffness was relatively severe due to four weeks of immobilization after surgery and the inability to immediately exercise

Keywords:
greater tuberosity fracture of the humerus, minimally invasive open reduction and internal fixation
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