肱骨大结节骨折内固定的生物力学研究进展
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摘要
<正>肱骨大结节骨折是一类较为常见的肩部损伤,在肱骨近端骨折中有13%～33%伴有大结节骨折,其中14%～20%为单纯的大结节骨折,在肩关节脱位患者中10%～30%常伴随肱骨大结节骨折,且一般多见于男性患者~([1-3])。肱骨大结节骨折患者,尤其是移位不明显的骨折,还存在一定的漏诊率,据统计有约64%的移位不明显的肱
引文
[1]Gruson KI,Ruchelsman DE,Tejwani NC.Isolated tuberosity fractures of the proximal humerus:Current concepts[J].Injury,2008,39(3):284-298.
[2]Kim E,Shin HK,Kim CH.Characteristics of an isolated greater tuberosity fracture of the humerus[J].J Orthop Sci,2005,10(5):441-444.
[3]曹烈虎,章浩,张春才,等.肩关节前脱位的诊治体会[J/CD].中华肩肘外科电子杂志,2014(1):37-40.
[4]Ogawa K,Yoshida A,Ikegami H.Isolated fractures of the greater tuberosity of the humerus:solutions to recognizing a frequently overlooked fracture[J].J Trauma,2003,54(4):713-717.
[5]Davies MB,Rajasekhar C,Bhamra MS.Irreducible anterior shoulder dislocation:the greater tuberosity Hill-Sachs lesion[J].Injury,2000,31(6):470-471.
[6]Kaspar S,Mandel S.Acromial impression fracture of the greater tuberosity with rotator cuff avulsion due to hyperabduction injury of the shoulder[J].J Shoulder Elbow Surg,2004,13(1):112-114.
[7]Bahrs C,Lingenfelter E,Fischer F,et al.Mechanism of injury and morphology of the greater tuberosity fracture[J].JShoulder Elbow Surg,2006,15(2):140-147.
[8]Mutch J,Laflamme GY,Hagemeister N,et al.A new morphological classification for greater tuberosity fractures of the proximal humer-us:validation and clinical implications[J].Bone Joint J,2014,96(5):646-651.
[9]Neer CS.Displaced proximal humeral fractures.I.Classification and evaluation[J].J Bone Joint Surg Am,1970,52(6):1077-1089.
[10]IPlatzer P,Kutscha-Lissberg F,Lehr S,et al.The influence of displacement on shoulder function in patients with minimally displaced fractures of the greater tuberosity[J].Injury,2005,36(10):1185-1189.
[11]Benedikt S,Heilmann LF,Raschke MJ,et al.Isolated fractures of the greater tuberosity:When are they treated conservatively?;Isolierte Tuberculum-majus-Frakturen:Wann werden sie konservativ behandelt?[J].Obere Extremit,2018,13(2):106-111.
[12]Levy DM,Erickson BJ,Harris JD,et al.Management of isolated greater tuberosity fractures:a systematic review[J].Am JOrthopedics,2017,46(6):445-453.
[13]陈志超,顾祖超,段鑫,等.关节镜微创治疗陈旧性肱骨大结节撕脱骨折合并肩袖损伤的临床疗效研究[J/CD].中华肩肘外科电子杂志,2016,4(3):162-165.
[14]孙鲁宁,束昊,袁滨,等.关节镜下单排带线锚钉修补结合大结节骨髓刺激治疗大到巨大肩袖撕裂[J/CD].中华肩肘外科电子杂志,2018,6(2):97-104.
[15]White EA,Skalski MR,Patel DB,et al.Isolated greater tuberosity fractures of the proximal humerus:anatomy,injury patterns,multimodality imaging,and approach to management[J/CD].Emerg Radiol,2018,25(5):1-12.
[16]Liao WX,Zhang H,Li ZL,et al.Is arthroscopic technique superior to open reduction internal fixation in the treatment of isolated displaced greater tuberosity fractures?[J].Clin Orthop Relat Res,2016,474(5):1269-1279.
[17]Soslowsky LJ,Malicky DM,Blasier RB.Active and passive factors in inferior glenohumeral stabilization:A biomechanical model[J].J Shoulder Elbow Surg,1997,6(4):371-379.
[18]Howell SM,Galinat BJ.The glenoid-labral socket:a constrained articular surface[J].Clin Orthop Relat Res,1989(243):122-125.
[19]Bono CM,Renard R,Levine RG,et al.Effect of displacement of fractures of the greater tuberosity on the mechanics of the shoulder[J].J Bone Joint Surg,2001,83(7):1056-1062.
[20]Ishak C,Sahajpal D,Chiang A,et al.Fixation of greater tuberosity fractures:a biomechanical comparison of three techniques[J].Bull Hosp Jt Dis,2006,63(3/4):98-99.
[21]Brais G,Menard J,Mutch J,et al.Transosseous braided-tape and double-row fixations are better than tension band for avulsion-type greater tuberosity fractures[J].Injury,2015,46(6):1007-1012.
[22]Seppel G,Saier T,Martetschlaeger F,et al.Single versus double row suture anchor fixation for greater tuberosity fractures-a biomechanical study[J].BMC Musculoskelet Disord,2017,
[23]Lin CL,Hong CK,Jou IM,et al.Suture anchor versus screw fixation for greater tuberosity fractures of the humerus--a biomechanical study[J].J Orthop Res,2012,30(3):423-428.
[24]Lin CL,Su FC,Chang CH,et al.Effect of shoulder abduction on the fixation of humeral greater tuberosity fractures:a biomechanical study for three types of fixation constructs[J].J Shoulder Elbow Surg,2015,24(4):547-554.
[25]钟树栅,白波,陈艺,等.三种固定方式治疗肱骨大结节骨折的生物力学研究[J/CD].中华关节外科杂志(电子版),2015(5):627-632.
[26]Nagamoto H,Yamamoto N,Sano H,et al.A biomechanical study on suture anchor insertion angle:Which is better,90°or45°?[J].J Orthop Sci,2017,22(1):56-62.
[27]Ruder JA,Dickinson EY,Peindl RD,et al.Greater tuberosity decortication decreases load to failure of All-Suture anchor constructs in rotator cuff repair[J].Arthroscopy,2018,34(10):2777-2781.
[28]Braunstein V,Wiedemann E,Plitz W,et al.Operative treatment of greater tuberosity fractures of the humerus--a biomechanical analysis[J].Clin Biomech(Bristol,Avon),2007,22(6):652-657.
[29]Kaisidis A,Pantos PG,Bochlos D,et al.Biomechanical analysis of the fixation strength of a novel plate for greater tuberosity fractures[J].Open Orthop J,2018,12(1):218-228.
[30]Gaudelli C,Ménard J,Mutch J,et al.Locking plate fixation provides superior fixation of humerus split type greater tuberosity fractures than tension bands and double row suture bridges[J].Clin Biomech(Bristol,Avon),2014,29(9):1003-1008.
[31]章伟.新型肱骨近端锁定钢板的三维有限元模型建立及生物力学研究[D].苏州:苏州大学,2014.
[32]陈强.肱骨大结节骨折三种不同内固定方式的生物力学研究[D].苏州:苏州大学,2012.
[33]唐炼.肱骨大结节骨折内固定装置的研制与生物力学对比研究[D].2013.
[34]薛兆龙,孟艳丽,王勤业,等.新型内固定器固定肱骨大结节骨折的生物力学研究[J].实用骨科杂志,2018,24(3)234-238.
[35]张少战,黄长明,傅仰攀,等.双排锚钉桥式缝合在肱骨大结节骨折中的应用[J/CD].中华肩肘外科电子杂志,2014(2):80-84.
[36]Ji JH,Jeong JJ,Kim YY,et al.Clinical and radiologic outcomes of arthroscopic suture bridge repair for the greater tuberosity fractures of the proximal humerus[J].Arch Orthop Trauma Surg,2017,137(1):9-17.
[37]Jang SH,Song HE,Choi SH.Arthroscopic percutaneous inverted mattress suture fixation of isolated greater tuberosity fracture of humerus[J].J Orthop Surg(Hong Kong),2018,26(1):230949901775410.
[38]Yoon TH,Choi CH,Choi YR,et al.Clinical outcomes of minimally invasive open reduction and internal fixation by screw and washer for displaced greater tuberosity fracture of the humerus[J].J Shoulder Elbow Surg,2018,27(6):E173-E177.
[39]马骏,付强,叶添文,等.微型锁定钢板治疗肱骨大结节骨折[J/CD].中华肩肘外科电子杂志,2015(3)156-159.
[2]Kim E,Shin HK,Kim CH.Characteristics of an isolated greater tuberosity fracture of the humerus[J].J Orthop Sci,2005,10(5):441-444.
[3]曹烈虎,章浩,张春才,等.肩关节前脱位的诊治体会[J/CD].中华肩肘外科电子杂志,2014(1):37-40.
[4]Ogawa K,Yoshida A,Ikegami H.Isolated fractures of the greater tuberosity of the humerus:solutions to recognizing a frequently overlooked fracture[J].J Trauma,2003,54(4):713-717.
[5]Davies MB,Rajasekhar C,Bhamra MS.Irreducible anterior shoulder dislocation:the greater tuberosity Hill-Sachs lesion[J].Injury,2000,31(6):470-471.
[6]Kaspar S,Mandel S.Acromial impression fracture of the greater tuberosity with rotator cuff avulsion due to hyperabduction injury of the shoulder[J].J Shoulder Elbow Surg,2004,13(1):112-114.
[7]Bahrs C,Lingenfelter E,Fischer F,et al.Mechanism of injury and morphology of the greater tuberosity fracture[J].JShoulder Elbow Surg,2006,15(2):140-147.
[8]Mutch J,Laflamme GY,Hagemeister N,et al.A new morphological classification for greater tuberosity fractures of the proximal humer-us:validation and clinical implications[J].Bone Joint J,2014,96(5):646-651.
[9]Neer CS.Displaced proximal humeral fractures.I.Classification and evaluation[J].J Bone Joint Surg Am,1970,52(6):1077-1089.
[10]IPlatzer P,Kutscha-Lissberg F,Lehr S,et al.The influence of displacement on shoulder function in patients with minimally displaced fractures of the greater tuberosity[J].Injury,2005,36(10):1185-1189.
[11]Benedikt S,Heilmann LF,Raschke MJ,et al.Isolated fractures of the greater tuberosity:When are they treated conservatively?;Isolierte Tuberculum-majus-Frakturen:Wann werden sie konservativ behandelt?[J].Obere Extremit,2018,13(2):106-111.
[12]Levy DM,Erickson BJ,Harris JD,et al.Management of isolated greater tuberosity fractures:a systematic review[J].Am JOrthopedics,2017,46(6):445-453.
[13]陈志超,顾祖超,段鑫,等.关节镜微创治疗陈旧性肱骨大结节撕脱骨折合并肩袖损伤的临床疗效研究[J/CD].中华肩肘外科电子杂志,2016,4(3):162-165.
[14]孙鲁宁,束昊,袁滨,等.关节镜下单排带线锚钉修补结合大结节骨髓刺激治疗大到巨大肩袖撕裂[J/CD].中华肩肘外科电子杂志,2018,6(2):97-104.
[15]White EA,Skalski MR,Patel DB,et al.Isolated greater tuberosity fractures of the proximal humerus:anatomy,injury patterns,multimodality imaging,and approach to management[J/CD].Emerg Radiol,2018,25(5):1-12.
[16]Liao WX,Zhang H,Li ZL,et al.Is arthroscopic technique superior to open reduction internal fixation in the treatment of isolated displaced greater tuberosity fractures?[J].Clin Orthop Relat Res,2016,474(5):1269-1279.
[17]Soslowsky LJ,Malicky DM,Blasier RB.Active and passive factors in inferior glenohumeral stabilization:A biomechanical model[J].J Shoulder Elbow Surg,1997,6(4):371-379.
[18]Howell SM,Galinat BJ.The glenoid-labral socket:a constrained articular surface[J].Clin Orthop Relat Res,1989(243):122-125.
[19]Bono CM,Renard R,Levine RG,et al.Effect of displacement of fractures of the greater tuberosity on the mechanics of the shoulder[J].J Bone Joint Surg,2001,83(7):1056-1062.
[20]Ishak C,Sahajpal D,Chiang A,et al.Fixation of greater tuberosity fractures:a biomechanical comparison of three techniques[J].Bull Hosp Jt Dis,2006,63(3/4):98-99.
[21]Brais G,Menard J,Mutch J,et al.Transosseous braided-tape and double-row fixations are better than tension band for avulsion-type greater tuberosity fractures[J].Injury,2015,46(6):1007-1012.
[22]Seppel G,Saier T,Martetschlaeger F,et al.Single versus double row suture anchor fixation for greater tuberosity fractures-a biomechanical study[J].BMC Musculoskelet Disord,2017,
[23]Lin CL,Hong CK,Jou IM,et al.Suture anchor versus screw fixation for greater tuberosity fractures of the humerus--a biomechanical study[J].J Orthop Res,2012,30(3):423-428.
[24]Lin CL,Su FC,Chang CH,et al.Effect of shoulder abduction on the fixation of humeral greater tuberosity fractures:a biomechanical study for three types of fixation constructs[J].J Shoulder Elbow Surg,2015,24(4):547-554.
[25]钟树栅,白波,陈艺,等.三种固定方式治疗肱骨大结节骨折的生物力学研究[J/CD].中华关节外科杂志(电子版),2015(5):627-632.
[26]Nagamoto H,Yamamoto N,Sano H,et al.A biomechanical study on suture anchor insertion angle:Which is better,90°or45°?[J].J Orthop Sci,2017,22(1):56-62.
[27]Ruder JA,Dickinson EY,Peindl RD,et al.Greater tuberosity decortication decreases load to failure of All-Suture anchor constructs in rotator cuff repair[J].Arthroscopy,2018,34(10):2777-2781.
[28]Braunstein V,Wiedemann E,Plitz W,et al.Operative treatment of greater tuberosity fractures of the humerus--a biomechanical analysis[J].Clin Biomech(Bristol,Avon),2007,22(6):652-657.
[29]Kaisidis A,Pantos PG,Bochlos D,et al.Biomechanical analysis of the fixation strength of a novel plate for greater tuberosity fractures[J].Open Orthop J,2018,12(1):218-228.
[30]Gaudelli C,Ménard J,Mutch J,et al.Locking plate fixation provides superior fixation of humerus split type greater tuberosity fractures than tension bands and double row suture bridges[J].Clin Biomech(Bristol,Avon),2014,29(9):1003-1008.
[31]章伟.新型肱骨近端锁定钢板的三维有限元模型建立及生物力学研究[D].苏州:苏州大学,2014.
[32]陈强.肱骨大结节骨折三种不同内固定方式的生物力学研究[D].苏州:苏州大学,2012.
[33]唐炼.肱骨大结节骨折内固定装置的研制与生物力学对比研究[D].2013.
[34]薛兆龙,孟艳丽,王勤业,等.新型内固定器固定肱骨大结节骨折的生物力学研究[J].实用骨科杂志,2018,24(3)234-238.
[35]张少战,黄长明,傅仰攀,等.双排锚钉桥式缝合在肱骨大结节骨折中的应用[J/CD].中华肩肘外科电子杂志,2014(2):80-84.
[36]Ji JH,Jeong JJ,Kim YY,et al.Clinical and radiologic outcomes of arthroscopic suture bridge repair for the greater tuberosity fractures of the proximal humerus[J].Arch Orthop Trauma Surg,2017,137(1):9-17.
[37]Jang SH,Song HE,Choi SH.Arthroscopic percutaneous inverted mattress suture fixation of isolated greater tuberosity fracture of humerus[J].J Orthop Surg(Hong Kong),2018,26(1):230949901775410.
[38]Yoon TH,Choi CH,Choi YR,et al.Clinical outcomes of minimally invasive open reduction and internal fixation by screw and washer for displaced greater tuberosity fracture of the humerus[J].J Shoulder Elbow Surg,2018,27(6):E173-E177.
[39]马骏,付强,叶添文,等.微型锁定钢板治疗肱骨大结节骨折[J/CD].中华肩肘外科电子杂志,2015(3)156-159.