Minimally Invasive Open Reduction by a Modified Suture Bridge with Anchors for Avulsion-type Greater Tuberosity Fracture of the Humerus

Suture Bridge ◽

Abstract Background: This study aims to describe a new procedure of minimally invasive open reduction by a modified suture bridge with anchors for avulsion-type greater tuberosity fracture of the humerus and to evaluate its clinical effectiveness.Methods: From January 2015 to January 2018, 16 patients who were diagnosed with an avulsion-type greater tuberosity fracture of the proximal humerus and treated with minimally invasive open reduction by modified suture bridges with anchors were retrospectively studied. Endpoints were assessed preoperatively and postoperatively and included the visual analog scale (VAS), the University of California Los Angeles (UCLA) shoulders score, the American Shoulder and Elbow Surgeons score (ASES), and the range of motion (ROM) for shoulders.Results: There were 7 males and 9 females with an average age of 44.94 years. Six fractures involved the left shoulder, and 10 involved the right shoulder. The time between injury and operation ranged from 1 to 5 days, with an average of 2.32 days. The average length of stay was 6.5 ± 0.85 days; the mean operation time was 103.1 ± 7.23 minutes; and the mean amount of operative blood loss was 51.88 ± 6.40 ml. All patients achieved bone union within 3 months after surgery. The VAS score significantly decreased at 3 weeks postoperatively (p = 0.002), as did the average degree of forward elevation (p = 0.047). The mean degree of abduction increased at 6 weeks after the operation (p = 0.035), and the average degree of external rotation and internal rotation improved at 3 months postoperatively (p = 0.012; p = 0.007). The ASES score and the UCLA score improved at the 6-week follow-up (p = 0.092; p = 0.029). No procedure-related death or incision-related superficial or deep tissue infection was identified in any case. No iatrogenic neurovascular injuries or fractures were found in this study.Conclusion: The fracture block was fixed firmly by minimally invasive open reduction with a modified suture bridge with anchors. Patients were allowed to move their shoulder early after surgery and recovered quickly. It is an efficient method for the treatment of avulsion-type greater tuberosity fractures of the humerus.

Minimally invasive open reduction by a modified suture bridge with anchors for avulsion-type greater tuberosity fracture of the humerus

10.21203/rs.3.rs-157724/v3 ◽

2021 ◽

Author(s):

Lingpeng Kong ◽

Juanjuan Yang ◽

Yongliang Yang ◽

Fu Wang

Keyword(s):

Los Angeles ◽

Minimally Invasive ◽

Open Reduction ◽

Operation Time ◽

Average Degree ◽

Left Shoulder ◽

Greater Tuberosity ◽

Suture Bridge ◽

Abstract Background: This study aims to describe a modified surgical method of minimally invasive open reduction by a modified suture bridge with anchors for avulsion-type greater tuberosity fracture of the humerus and to evaluate its clinical effectiveness.Methods: From January 2015 to January 2018, 16 patients who were diagnosed with an avulsion-type greater tuberosity fracture of the proximal humerus and treated with minimally invasive open reduction by modified suture bridges with anchors were retrospectively studied. All patients were followed up with clinical examination and radiographs at 3 weeks, 6 weeks, 3 months, 6 months and 12 months after surgery and then every 6 months. Outcomes were assessed preoperatively and postoperatively with the visual analog scale (VAS), the University of California Los Angeles (UCLA) shoulders score, the American Shoulder and Elbow Surgeons score (ASES), and the range of motion (ROM) for shoulders.Results: There were 7 males and 9 females with an average age of 44.94 years. Six fractures involved the left shoulder, and 10 involved the right shoulder. The time between injury and operation ranged from 1 to 5 days, with an average of 2.32 days. The average length of stay was 6.5 ± 0.85 days; the mean operation time was 103.1 ± 7.23 minutes; and the mean amount of operative blood loss was 51.88 ± 6.40 ml. All patients achieved bone union within 3 months after surgery. The VAS score significantly decreased at 3 weeks postoperatively (p = 0.002), as did the average degree of forward elevation (p = 0.047). The mean degree of abduction increased at 6 weeks after the operation (p = 0.035), and the average degree of external rotation and internal rotation improved at 3 months postoperatively (p = 0.012; p = 0.007). The ASES score and the UCLA score improved at the 6-week follow-up (p = 0.092; p = 0.029). No procedure-related death or incision-related superficial or deep tissue infection was identified in any case. No iatrogenic neurovascular injuries or fractures were found in this study.Conclusion: The fracture block was fixed firmly by minimally invasive open reduction with a modified suture bridge with anchors. Patients were allowed to move their shoulder early after surgery and recovered quickly. It is an efficient method for the treatment of avulsion-type greater tuberosity fractures of the humerus.

Minimally invasive open reduction by a modified suture bridge with anchors for avulsion-type greater tuberosity fracture of the humerus

10.21203/rs.3.rs-157724/v1 ◽

2021 ◽

Author(s):

Lingpeng Kong ◽

Juanjuan Yang ◽

Fanxiao Liu ◽

Yong Han ◽

Qingsen Lu ◽

...

Keyword(s):

Los Angeles ◽

Minimally Invasive ◽

Open Reduction ◽

Operation Time ◽

Average Degree ◽

Left Shoulder ◽

Greater Tuberosity ◽

Suture Bridge ◽

Abstract Background: This study aims to describe a new procedure of minimally invasive open reduction by a modified suture bridge with anchors for avulsion-type greater tuberosity fracture of the humerus and to evaluate its clinical effectiveness.Methods: From January 2015 to January 2018, 16 patients who were diagnosed with an avulsion-type greater tuberosity fracture of the proximal humerus and treated with minimally invasive open reduction by modified suture bridges with anchors were retrospectively studied. Endpoints were assessed preoperatively and postoperatively and included the visual analog scale (VAS), the University of California Los Angeles (UCLA) shoulders score, the American Shoulder and Elbow Surgeons score (ASES), and the range of motion (ROM) for shoulders.Results: There were 7 males and 9 females with an average age of 44.94 years. Six fractures involved the left shoulder, and 10 involved the right shoulder. The time between injury and operation ranged from 1 to 5 days, with an average of 2.32 days. The average length of stay was 6.5 ± 0.85 days; the mean operation time was 103.1 ± 7.23 minutes; and the mean amount of operative blood loss was 51.88 ± 6.40 ml. All patients achieved bone union within 3 months after surgery. The VAS score significantly decreased at 3 weeks postoperatively (p = 0.002), as did the average degree of forward elevation (p = 0.047). The mean degree of abduction increased at 6 weeks after the operation (p = 0.035), and the average degree of external rotation and internal rotation improved at 3 months postoperatively (p = 0.012; p = 0.007). The ASES score and the UCLA score improved at the 6-week follow-up (p = 0.092; p = 0.029). No procedure-related death or incision-related superficial or deep tissue infection was identified in any case. No iatrogenic neurovascular injuries or fractures were found in this study.Conclusion: The fracture block was fixed firmly by minimally invasive open reduction with a modified suture bridge with anchors. Patients were allowed to move their shoulder early after surgery and recovered quickly. It is an efficient method for the treatment of avulsion-type greater tuberosity fractures of the humerus.

Minimally invasive open reduction of greater tuberosity fractures by a modified suture bridge procedure

World Journal of Clinical Cases ◽

10.12998/wjcc.v10.i1.117 ◽

2022 ◽

Vol 10 (1) ◽

pp. 117-127

Author(s):

Ling-Peng Kong ◽

Juan-Juan Yang ◽

Fu Wang ◽

Fan-Xiao Liu ◽

Yong-Liang Yang

Keyword(s):

Minimally Invasive ◽

Open Reduction ◽

Greater Tuberosity ◽

Suture Bridge

COMPARISION BETWEEN MINIMALLY INVASIVE VERSUS OPEN REDUCTION PLATING IN MID TO DISTAL THIRD HUMERAL SHAFT FRACTURES

10.36106/ijsr/3605471 ◽

2021 ◽

pp. 69-70

Author(s):

Ranjeet Kumar ◽

Shambhu Prasad ◽

Shailendra Kumar

Keyword(s):

Minimally Invasive ◽

Radial Nerve ◽

Open Reduction ◽

Operation Time ◽

Radial Nerve Palsy ◽

Fracture Union ◽

Group A ◽

Elbow Function ◽

The Mean ◽

Group B

This study compares the functional outcomes of osteosynthesis of fracture shaft of humerus by minimally invasive plating and open reduction plating technique.25 patients were retrospectively analysed and divided into two groups. Group A(n=13) patients were treated by MIPO and group B (n=12) by conventional plating. The mean operation time in group A was 86.63 minutes and 111.40 minutes in group B. Iatrogenic radial nerve palsy in group Awas 0% (0/13) and 3 in group B 33.33% (4/12). The mean fracture union time in group Awas 15.62 weeks (range 8–24 weeks), and 37.14 weeks (range 10–58 weeks) in group B. The mean UCLAend-result score in group Awas 35.54points (range 33–35), and 31.23 points (range 30–35) in group B. When compared to the conventional plating techniques, MIPO offers advantages in terms of reduced incidence of iatrogenic radial nerve palsies and accelerated fracture union and a similar functional outcome with respect to shoulder and elbow function.

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

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2017.11.029 ◽

2018 ◽

Vol 27 (6) ◽

pp. e173-e177 ◽

Cited By ~ 4

Author(s):

Tae-Hwan Yoon ◽

Chong-Hyuk Choi ◽

Yun-Rak Choi ◽

Jong-Taek Oh ◽

Yong-Min Chun

Keyword(s):

Minimally Invasive ◽

Internal Fixation ◽

Clinical Outcomes ◽

Open Reduction ◽

Greater Tuberosity ◽

Greater Tuberosity Fracture

A Biomechanical Study of Double-row Suture-bridge and Double-screw Fixation Strength in Split-type Greater Tuberosity Fractures of the Humerus

10.21203/rs.3.rs-107462/v1 ◽

2020 ◽

Author(s):

Man Ma ◽

Xiaomeng Zhang ◽

Yanhua Wang ◽

Dianying Zhang

Keyword(s):

Screw Fixation ◽

Fixation Strength ◽

Double Row ◽

Fixation Failure ◽

Greater Tuberosity ◽

Fixation Methods ◽

Suture Bridge ◽

The Mean ◽

Teres Minor

Abstract Background: This study aimed to compare the fixation strength of double-row suture-bridge (DR) and double-screw (DS) fixation methods in treating split-type greater tuberosity fracture of the humerus.Methods: We established 24 fracture models of frozen pig shoulders with reserved supraspinatus, infraspinatus, and teres minor muscles. The specimens were randomly divided into two groups according to the fixation methods of double-row suture-bridge (group A) and double screws (group B). The loads of 3-mm displacement, 5-mm displacement, and fixation failure of each group were measured using a biomechanical device in both traction directions of the supraspinatus muscle (horizontal direction) and infraspinatus-teres minor muscles (vertical backward direction). Results: In the direction of supraspinatus traction, there was no statistical difference in the mean load values of 3-mm displacement, 5-mm displacement, and fixation failure in both groups (p > 0.05). In the direction of infraspinatus-teres minor traction, the mean load values of 3-mm displacement, 5-mm displacement, and fixation failure of double-screw fixation were greater than those of double-row suture-bridge fixation (p = 0.000). Conclusion: The fixation strength of double-screw suture-bridge and double screws were equivalent in the direction of the supraspinatus. However, the fixation strength of double-screw suture-bridge was less than that of double screws, indicating poor anti-rotation property. Double-screw suture-bridge fixation alone is not recommended to treat split-type greater tuberosity fracture with a large fragment.

Femoral Intertrochanteric Fracture

Application of Wire-Assisted Reduction Guided by Minimally Invasive Wire Introducer in the Treatment of Irreducible Femoral Intertrochanteric Fractures

10.21203/rs.3.rs-51793/v1 ◽

2020 ◽

Author(s):

Xiaocong Lin ◽

Xiuxi Huang ◽

Kaibin Fang ◽

Qingfeng Ke ◽

Shaojian Shi ◽

...

Keyword(s):

Minimally Invasive ◽

Open Reduction ◽

Intertrochanteric Fracture ◽

Operation Time ◽

Fracture Reduction ◽

Control Group ◽

Intertrochanteric Fractures ◽

Observation Group ◽

Reduction Operation ◽

Abstract Background: Open reduction was often required in the treatment of irreducible femoral intertrochanteric fractures. A minimally invasive wire introducer was designed to assist the reduction of such fractures. The aim of our study was to investigate the clinical outcomes of this technique.Methods: Between 2013 and 2018, 92 femoral intertrochanteric fracture patients who were treated with intramedullary nail fixation and difficult reduction using the traction beds were retrospectively reviewed. Decision for surgery was based on the displacement of the fracture. The patients was divided into two groups, 31 in the control group and 61 in the observation group. The control group were received open reduction operation. And the observation group still received the closed reduction operation, using minimally invasive wire introducer to guide the wire and assist the fracture reduction. The operation time, blood loss, VAS scores, angulation, reduction, neck-shaft angle, redisplacement, limb length discrepancy, and union time were recorded.Results: All patients of two groups were successfully operated and were followed up for an average of 23.8 months. There was no statistical difference in baseline data between the two groups. The observation group had shorter operation time, lower VAS score and less intraoperative bleeding. And the datas are statistically different.Conclusion: Minimally invasive wire introducer is a good technology to guide the wire for irreduciblr femoral intertrochanteric fracture reduction. Using this technique, irreduciblr femoral intertrochanteric fractures could be restored and good clinical outcome was achieved.Level of evidence: Level IV; Case Series; Treatment Study

A new minimally invasive technique for correction of pectus carinatum

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01663-z ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Wei Ping ◽

Shengling Fu ◽

Yangkai Li ◽

Jun Yu ◽

Ni Zhang ◽

...

Keyword(s):

Minimally Invasive ◽

Primary Repair ◽

Operation Time ◽

Minimally Invasive Technique ◽

Invasive Technique ◽

Pectus Carinatum ◽

Chest Drainage ◽

Anterior Axillary Line ◽

Pectus Bar ◽

Abstract Background The Abramson technique for the correction of pectus carinatum (PC) is commonly performed worldwide. However, the postoperative complications of this technique related to bar fixation, including wire breakage and bar displacement, are relatively high. In this study, a new minimally invasive technique for correction of PC is described, in which the pectus bar is secured by bilateral selected ribs, and for which no special fixation to the rib is needed. Methods The procedure was performed by placing the pectus bar subcutaneously over the sternum with both ends of the bar passing through the intercostal space of the selected rib at the anterior axillary line. The protruding sternum was depressed by the bar positioned in this 2 intra- and 2 extra-thorax manners. Between October 2011 and September 2019, 42 patients with PC underwent this procedure. Results Satisfactory cosmetic results were obtained in all the patients. The mean operation time was 87.14 min, and the mean postoperative stay was 4.05 days. Wound infection occurred in 3 patients, 2 were cured by antibiotics, and 1 received bar removal 4 months after the initial operation due to the exposure of the implant resulting from uncontrolled infection. Mild pneumothorax was found in 3 patients and cured by conservative treatment. One patient suffered from hydropneumothorax, which was treated with chest drainage. The bars were removed at a mean duration of 24.4 months since primary repair in 20 patients without recurrence. Conclusions This new technique for minimally invasive correction of PC deformity is a safe and feasible procedure yielding good results and minimal complications.

Minimally invasive subtalar arthrodesis for traumatic subtalar arthritis

Journal of International Medical Research ◽

10.1177/0300060519847814 ◽

2019 ◽

Vol 47 (12) ◽

pp. 6129-6138 ◽

Cited By ~ 1

Author(s):

Lei Sun ◽

Zhigang Kong ◽

Ming Xu

Keyword(s):

Blood Loss ◽

Minimally Invasive ◽

Bone Graft ◽

Iliac Crest ◽

Operation Time ◽

Iliac Crest Bone Graft ◽

Intraoperative Blood Loss ◽

Subtalar Arthrodesis ◽

Subtalar Arthritis ◽

Objective This study was performed to introduce a new method of minimally invasive subtalar arthrodesis (MISA) and assess its clinical effects on traumatic subtalar arthritis (TSA). Methods Fifteen patients (8 male and 7 female; age range, 36–56 years; mean age, 48.67 years) with TSA who underwent MISA were included. All patients were treated using a series instrument. The intraoperative and postoperative indexes were recorded. Results Among all patients, the mean operation time was 59.67 ± 16.31 minutes and the mean intraoperative blood loss was 43.33 ± 52.87 mL. Four patients underwent iliac crest bone graft surgery, and one patient developed a complication involving fat liquefaction of the iliac crest wound. The mean bony fusion time among all patients was 3.5 months. According to the American Orthopaedic Foot and Ankle Society standard, an excellent outcome was obtained in eight patients and a good outcome was obtained in seven patients. The operation time and intraoperative blood loss were significantly different between patients who did and did not undergo iliac crest bone graft surgery. Conclusion MISA is a simple and effective method for the treatment of TSA.