Research progress of greater tubercle fixation and rotator cuff repair in humeral head replacement_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YUAN Libo ^1,2 , JIN Tao ¹ ,  XU Yongqing ¹

1. Department of Orthopaedic Surgery, the 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China;
2. Graduate School of Kunming Medical University, Kunming Yunnan, 650500, P.R.China;

Corresponding author：

XU Yongqing, Email: xuyongqingkm@163.net

Keywords：

Humeral head replacement; greater tubercle; rotator cuff; repair and reconstruction

DOI：

10.7507/1002-1892.201902066

Video：

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Objective To summarize the research progress of the greater tubercle fixation and the rotator cuff repair in humeral head replacement.Methods The literature about proximal humerus fracture and humeral head replacement in recent years was extensively consulted and analyzed.Results The greater tubercle fixation and the attached rotator cuff repair have great influence on the function of shoulder joint after humeral head replacement. It is difficult to make an objective comparison because of lack of direct comparison between various methods, unified standards of grading, and limited number of cases.Conclusion It is an important factor of reduction and fixation of greater tubercle to obtain better effectiveness in humeral head replacement. However, one-stage repair of rotator cuff is more important than greater tubercle fixation for functional recovery of shoulder joint.

Citation： YUAN Libo, JIN Tao, XU Yongqing. Research progress of greater tubercle fixation and rotator cuff repair in humeral head replacement. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(2): 266-269. doi: 10.7507/1002-1892.201902066 Copy

1.	Jabran A, Peach C, Ren L. Biomechanical analysis of plate systems for proximal humerus fractures: a systematic literature review. Biomed Eng Online, 2018, 17(1): 47.
2.	Bahrs C, Bauer M, Blumenstock G, et al. The complexity of proximal humeral fractures is age and gender specific. J Orthop Sci, 2013, 18(3): 465-470.
3.	刘磊, 陈伟, 孙家元, 等. 2003年至2012年河北医科大学第三医院成人肱骨近端骨折的流行病学研究. 中华创伤骨科杂志, 2014, 16(4): 320-323.
4.	Zhang Y. Clinical epidemiology of orthopedic trauma. 2nd ed. New York: Thieme, 2012: 547-563.
5.	饶海群, 黄大江, 吴渊, 等. 肱骨近端骨折保守治疗后并发症的探讨. 中国矫形外科杂志, 2014, 22(22): 2049-2052.
6.	Du S, Ye J, Chen H, et al. Interventions for Treating 3- or 4-part proximal humeral fractures in elderly patient: A network meta-analysis of randomized controlled trials. Int J Surg, 2017, 48: 240-246.
7.	王铭, 李洪峰, 王云力, 等. 老年肱骨近端粉碎性骨折人工肱骨头置换与锁定加压钢板固定的对比. 中国矫形外科杂志, 2018, 26(16): 1463-1467.
8.	鲁谊. 肩关节置换治疗肱骨近端骨折——从半肩到反肩. 中华肩肘外科电子杂志, 2016, 4(2): 128-128.
9.	Boileau P, Winter M, Cikes A, et al. Can surgeons predict what makes a good hemiarthroplasty for fracture? J Shoulder Elbow Surg, 2013, 22(11): 1495-1506.
10.	Namdari S. Primary shoulder hemiarthroplasty: what can be learned from 359 cases that were surgically revised? Clin Orthop Relat Res, 2018, 476(5): 1041-1042.
11.	Hashiguchi H, Iwashita S, Ohkubo A, et al. The outcome of hemiarthroplasty for proximal humeral fractures is dependent on the status of the rotator cuff. Int Orthop, 2015, 39(6): 1115-1119.
12.	梁秀伟, 文坤树, 蔡勇平, 等. 锁定钢板内固定系统与传统普通解剖接骨板内固定治疗肱骨近端骨折患者的疗效比较. 创伤外科杂志, 2018, 20(10): 766-769.
13.	戴海峰, 徐丛, 王智慧, 等. 半肩关节置换术治疗骨质疏松性肱骨近端粉碎性骨折26例. 山东医药, 2017, 57(7): 79-81.
14.	唐宏超, 金辉, 曾忠友, 等. 复杂肱骨近端骨折人工肱骨头置换术中肩袖重建的长期疗效观察. 中国骨与关节损伤杂志, 2017, 32(9): 932-935.
15.	赵广辉, 李晨, 潘秀琴, 等. 肱骨头置换术治疗老年肱骨近端粉碎性骨折的疗效分析. 中国骨与关节损伤杂志, 2017, 32(3): 296-297.
16.	王克平, 李智明, 周海宇, 等. 人工肱骨头置换治疗老年肱骨近端三、四部分骨折疗效分析. 中国临床解剖学杂志, 2016, 34(1): 104-107.
17.	Doursounian L, Gaillard J, Cambon-Binder A, et al. Hemiarthroplasty for proximal humerus fractures with conservation of the whole humeral head as autograft: does it improve greater tuberosity healing? Int Orthop, 2019, 43(5): 1155-1164.
18.	付中国, 姜保国, 张殿英, 等. 肱骨假体置换Cable-needle内置式环扎“T”形加压固定大小结节治疗肱骨近端骨折. 中华创伤杂志, 2008, 24(10): 799-803.
19.	付中国. Nice Knot方法在肱骨近端骨折假体置换术大小结节固定修复中的应用. 中华肩肘外科电子杂志, 2013, 1(1): 65-69.
20.	Collin P, Laubster E, Denard PJ, et al. The Nice knot as an improvement on current knot options: a mechanical analysis. Orthop Traumatol Surg Res, 2016, 102(3): 293-296.
21.	Nyffeler RW, Sheikh R, Jacob HA, et al. Influence of humeral prosthesis height on biomechanics of glenohumeral abduction. An in vitro study. J Bone Joint Surg (Am), 2004, 86(3): 575-580.
22.	Ponce BA, Thompson KJ, Rosenzweig SD, et al. Re-evaluation of pectoralis major height as an anatomic reference for humeral height in fracture hemiarthroplasty. J Shoulder Elbow Surg, 2013, 22(11): 1567-1572.
23.	Sims MT, Detweiler BN, Scott JT, et al. Inconsistent selection of outcomes and measurement devices found in shoulder arthroplasty research: an analysis of studies on clinical trials. PLoS One, 2017, 12(11): e0187865.
24.	吴剑宏, 吴腾飞, 王丹, 等. 肱骨大结节骨折向下移位的临床意义. 中华创伤骨科杂志, 2016, 18(4): 277-282.
25.	庄澄宇, 陈哲, 宋艳艳, 等. 肱骨近端骨折合并肩袖破裂的发病率及与骨折类型和年龄分布的相关性. 中华骨科杂志, 2017, 37(21): 1356-1360.
26.	Choo A, Sobol G, Maltenfort M, et al. Prevalence of rotator cuff tears in operative proximal humerus fractures. Orthopedics, 2014, 37(11): e968-974.
27.	Bahrs C, Rolauffs B, Stuby F, et al. Effect of proximal humeral fractures on the age-specific prevalence of rotator cuff tears. J Trauma, 2010, 69(4): 901-906.
28.	王蕾. 关注肱骨近端骨折整体治疗. 中华肩肘外科电子杂志, 2018, 6(3): 239.
29.	Amroodi MN, Behshad V, Motaghi P. Long-term results, functional outcomes and complications after open reduction and internal fixation of neglected and displaced greater tuberosity of humerus fractures. Arch Bone Jt Surg, 2016, 4(4): 330-336.
30.	Panagopoulos A, Tatani I, Yannis S, et al. Transosseous suture fixation of true 4-part valgus impacted fractures of the proximal humerus: clinical and radiological outcome in 49 patients. Open Orthop J, 2018, 12: 41-52.
31.	李文庆, 张作君, 刘云龙. 肱骨近端脱套样骨折治疗体会. 中国修复重建外科杂志, 2018, 32(12): 1540-1544.
32.	Jeong JY, Chung PK, Lee SM, et al. Supraspinatus muscle occupation ratio predicts rotator cuff reparability. J Shoulder Elbow Surg, 2017, 26(6): 960-966.
33.	de Beer J, Bhatia DN. Arthroplasty of the shoulder joint. Int J Shoulder Surg, 2016, 10(2): 57-58.
34.	唐佶颖, 陶忠亮, 李军, 等. 同期和延期修复肱骨近端骨折合并的肩袖全层破裂疗效比较. 中国修复重建外科杂志, 2019, 33(9): 1141-1146.
35.	Sellers TR, Abdelfattah A, Frankle MA. Massive rotator cuff tear: when to consider reverse shoulder arthroplasty. Curr Rev Musculoskelet Med, 2018, 11(1): 131-140.
36.	王琛, 徐卫东. 反式肩关节置换术并发症的分析及防治. 中华关节外科杂志(电子版), 2016, 10(6): 665-669.

1. Jabran A, Peach C, Ren L. Biomechanical analysis of plate systems for proximal humerus fractures: a systematic literature review. Biomed Eng Online, 2018, 17(1): 47.
2. Bahrs C, Bauer M, Blumenstock G, et al. The complexity of proximal humeral fractures is age and gender specific. J Orthop Sci, 2013, 18(3): 465-470.
3. 刘磊, 陈伟, 孙家元, 等. 2003年至2012年河北医科大学第三医院成人肱骨近端骨折的流行病学研究. 中华创伤骨科杂志, 2014, 16(4): 320-323.
4. Zhang Y. Clinical epidemiology of orthopedic trauma. 2nd ed. New York: Thieme, 2012: 547-563.
5. 饶海群, 黄大江, 吴渊, 等. 肱骨近端骨折保守治疗后并发症的探讨. 中国矫形外科杂志, 2014, 22(22): 2049-2052.
6. Du S, Ye J, Chen H, et al. Interventions for Treating 3- or 4-part proximal humeral fractures in elderly patient: A network meta-analysis of randomized controlled trials. Int J Surg, 2017, 48: 240-246.
7. 王铭, 李洪峰, 王云力, 等. 老年肱骨近端粉碎性骨折人工肱骨头置换与锁定加压钢板固定的对比. 中国矫形外科杂志, 2018, 26(16): 1463-1467.
8. 鲁谊. 肩关节置换治疗肱骨近端骨折——从半肩到反肩. 中华肩肘外科电子杂志, 2016, 4(2): 128-128.
9. Boileau P, Winter M, Cikes A, et al. Can surgeons predict what makes a good hemiarthroplasty for fracture? J Shoulder Elbow Surg, 2013, 22(11): 1495-1506.
10. Namdari S. Primary shoulder hemiarthroplasty: what can be learned from 359 cases that were surgically revised? Clin Orthop Relat Res, 2018, 476(5): 1041-1042.
11. Hashiguchi H, Iwashita S, Ohkubo A, et al. The outcome of hemiarthroplasty for proximal humeral fractures is dependent on the status of the rotator cuff. Int Orthop, 2015, 39(6): 1115-1119.
12. 梁秀伟, 文坤树, 蔡勇平, 等. 锁定钢板内固定系统与传统普通解剖接骨板内固定治疗肱骨近端骨折患者的疗效比较. 创伤外科杂志, 2018, 20(10): 766-769.
13. 戴海峰, 徐丛, 王智慧, 等. 半肩关节置换术治疗骨质疏松性肱骨近端粉碎性骨折26例. 山东医药, 2017, 57(7): 79-81.
14. 唐宏超, 金辉, 曾忠友, 等. 复杂肱骨近端骨折人工肱骨头置换术中肩袖重建的长期疗效观察. 中国骨与关节损伤杂志, 2017, 32(9): 932-935.
15. 赵广辉, 李晨, 潘秀琴, 等. 肱骨头置换术治疗老年肱骨近端粉碎性骨折的疗效分析. 中国骨与关节损伤杂志, 2017, 32(3): 296-297.
16. 王克平, 李智明, 周海宇, 等. 人工肱骨头置换治疗老年肱骨近端三、四部分骨折疗效分析. 中国临床解剖学杂志, 2016, 34(1): 104-107.
17. Doursounian L, Gaillard J, Cambon-Binder A, et al. Hemiarthroplasty for proximal humerus fractures with conservation of the whole humeral head as autograft: does it improve greater tuberosity healing? Int Orthop, 2019, 43(5): 1155-1164.
18. 付中国, 姜保国, 张殿英, 等. 肱骨假体置换Cable-needle内置式环扎“T”形加压固定大小结节治疗肱骨近端骨折. 中华创伤杂志, 2008, 24(10): 799-803.
19. 付中国. Nice Knot方法在肱骨近端骨折假体置换术大小结节固定修复中的应用. 中华肩肘外科电子杂志, 2013, 1(1): 65-69.
20. Collin P, Laubster E, Denard PJ, et al. The Nice knot as an improvement on current knot options: a mechanical analysis. Orthop Traumatol Surg Res, 2016, 102(3): 293-296.
21. Nyffeler RW, Sheikh R, Jacob HA, et al. Influence of humeral prosthesis height on biomechanics of glenohumeral abduction. An in vitro study. J Bone Joint Surg (Am), 2004, 86(3): 575-580.
22. Ponce BA, Thompson KJ, Rosenzweig SD, et al. Re-evaluation of pectoralis major height as an anatomic reference for humeral height in fracture hemiarthroplasty. J Shoulder Elbow Surg, 2013, 22(11): 1567-1572.
23. Sims MT, Detweiler BN, Scott JT, et al. Inconsistent selection of outcomes and measurement devices found in shoulder arthroplasty research: an analysis of studies on clinical trials. PLoS One, 2017, 12(11): e0187865.
24. 吴剑宏, 吴腾飞, 王丹, 等. 肱骨大结节骨折向下移位的临床意义. 中华创伤骨科杂志, 2016, 18(4): 277-282.
25. 庄澄宇, 陈哲, 宋艳艳, 等. 肱骨近端骨折合并肩袖破裂的发病率及与骨折类型和年龄分布的相关性. 中华骨科杂志, 2017, 37(21): 1356-1360.
26. Choo A, Sobol G, Maltenfort M, et al. Prevalence of rotator cuff tears in operative proximal humerus fractures. Orthopedics, 2014, 37(11): e968-974.
27. Bahrs C, Rolauffs B, Stuby F, et al. Effect of proximal humeral fractures on the age-specific prevalence of rotator cuff tears. J Trauma, 2010, 69(4): 901-906.
28. 王蕾. 关注肱骨近端骨折整体治疗. 中华肩肘外科电子杂志, 2018, 6(3): 239.
29. Amroodi MN, Behshad V, Motaghi P. Long-term results, functional outcomes and complications after open reduction and internal fixation of neglected and displaced greater tuberosity of humerus fractures. Arch Bone Jt Surg, 2016, 4(4): 330-336.
30. Panagopoulos A, Tatani I, Yannis S, et al. Transosseous suture fixation of true 4-part valgus impacted fractures of the proximal humerus: clinical and radiological outcome in 49 patients. Open Orthop J, 2018, 12: 41-52.
31. 李文庆, 张作君, 刘云龙. 肱骨近端脱套样骨折治疗体会. 中国修复重建外科杂志, 2018, 32(12): 1540-1544.
32. Jeong JY, Chung PK, Lee SM, et al. Supraspinatus muscle occupation ratio predicts rotator cuff reparability. J Shoulder Elbow Surg, 2017, 26(6): 960-966.
33. de Beer J, Bhatia DN. Arthroplasty of the shoulder joint. Int J Shoulder Surg, 2016, 10(2): 57-58.
34. 唐佶颖, 陶忠亮, 李军, 等. 同期和延期修复肱骨近端骨折合并的肩袖全层破裂疗效比较. 中国修复重建外科杂志, 2019, 33(9): 1141-1146.
35. Sellers TR, Abdelfattah A, Frankle MA. Massive rotator cuff tear: when to consider reverse shoulder arthroplasty. Curr Rev Musculoskelet Med, 2018, 11(1): 131-140.
36. 王琛, 徐卫东. 反式肩关节置换术并发症的分析及防治. 中华关节外科杂志(电子版), 2016, 10(6): 665-669.

Chinese Journal of Reparative and Reconstructive Surgery

Research progress of greater tubercle fixation and rotator cuff repair in humeral head replacement

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