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.	劉磊, 陳偉, 孫家元, 等. 2003年至2012年河北醫科大學第三醫院成人肱骨近端骨折的流行病學研究. 中華創傷骨科雜志, 2014, 16(4): 320-323.
4.	Zhang Y. Clinical epidemiology of orthopedic trauma. 2nd ed. New York: Thieme, 2012: 547-563.
5.	饒海群, 黃大江, 吳淵, 等. 肱骨近端骨折保守治療后并發癥的探討. 中國矯形外科雜志, 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.	王銘, 李洪峰, 王云力, 等. 老年肱骨近端粉碎性骨折人工肱骨頭置換與鎖定加壓鋼板固定的對比. 中國矯形外科雜志, 2018, 26(16): 1463-1467.
8.	魯誼. 肩關節置換治療肱骨近端骨折——從半肩到反肩. 中華肩肘外科電子雜志, 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.	梁秀偉, 文坤樹, 蔡勇平, 等. 鎖定鋼板內固定系統與傳統普通解剖接骨板內固定治療肱骨近端骨折患者的療效比較. 創傷外科雜志, 2018, 20(10): 766-769.
13.	戴海峰, 徐叢, 王智慧, 等. 半肩關節置換術治療骨質疏松性肱骨近端粉碎性骨折26例. 山東醫藥, 2017, 57(7): 79-81.
14.	唐宏超, 金輝, 曾忠友, 等. 復雜肱骨近端骨折人工肱骨頭置換術中肩袖重建的長期療效觀察. 中國骨與關節損傷雜志, 2017, 32(9): 932-935.
15.	趙廣輝, 李晨, 潘秀琴, 等. 肱骨頭置換術治療老年肱骨近端粉碎性骨折的療效分析. 中國骨與關節損傷雜志, 2017, 32(3): 296-297.
16.	王克平, 李智明, 周海宇, 等. 人工肱骨頭置換治療老年肱骨近端三、四部分骨折療效分析. 中國臨床解剖學雜志, 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.	付中國, 姜保國, 張殿英, 等. 肱骨假體置換Cable-needle內置式環扎“T”形加壓固定大小結節治療肱骨近端骨折. 中華創傷雜志, 2008, 24(10): 799-803.
19.	付中國. Nice Knot方法在肱骨近端骨折假體置換術大小結節固定修復中的應用. 中華肩肘外科電子雜志, 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.	吳劍宏, 吳騰飛, 王丹, 等. 肱骨大結節骨折向下移位的臨床意義. 中華創傷骨科雜志, 2016, 18(4): 277-282.
25.	莊澄宇, 陳哲, 宋艷艷, 等. 肱骨近端骨折合并肩袖破裂的發病率及與骨折類型和年齡分布的相關性. 中華骨科雜志, 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. 關注肱骨近端骨折整體治療. 中華肩肘外科電子雜志, 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.	李文慶, 張作君, 劉云龍. 肱骨近端脫套樣骨折治療體會. 中國修復重建外科雜志, 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.	唐佶穎, 陶忠亮, 李軍, 等. 同期和延期修復肱骨近端骨折合并的肩袖全層破裂療效比較. 中國修復重建外科雜志, 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, 徐衛東. 反式肩關節置換術并發癥的分析及防治. 中華關節外科雜志(電子版), 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. 劉磊, 陳偉, 孫家元, 等. 2003年至2012年河北醫科大學第三醫院成人肱骨近端骨折的流行病學研究. 中華創傷骨科雜志, 2014, 16(4): 320-323.
4. Zhang Y. Clinical epidemiology of orthopedic trauma. 2nd ed. New York: Thieme, 2012: 547-563.
5. 饒海群, 黃大江, 吳淵, 等. 肱骨近端骨折保守治療后并發癥的探討. 中國矯形外科雜志, 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. 王銘, 李洪峰, 王云力, 等. 老年肱骨近端粉碎性骨折人工肱骨頭置換與鎖定加壓鋼板固定的對比. 中國矯形外科雜志, 2018, 26(16): 1463-1467.
8. 魯誼. 肩關節置換治療肱骨近端骨折——從半肩到反肩. 中華肩肘外科電子雜志, 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. 梁秀偉, 文坤樹, 蔡勇平, 等. 鎖定鋼板內固定系統與傳統普通解剖接骨板內固定治療肱骨近端骨折患者的療效比較. 創傷外科雜志, 2018, 20(10): 766-769.
13. 戴海峰, 徐叢, 王智慧, 等. 半肩關節置換術治療骨質疏松性肱骨近端粉碎性骨折26例. 山東醫藥, 2017, 57(7): 79-81.
14. 唐宏超, 金輝, 曾忠友, 等. 復雜肱骨近端骨折人工肱骨頭置換術中肩袖重建的長期療效觀察. 中國骨與關節損傷雜志, 2017, 32(9): 932-935.
15. 趙廣輝, 李晨, 潘秀琴, 等. 肱骨頭置換術治療老年肱骨近端粉碎性骨折的療效分析. 中國骨與關節損傷雜志, 2017, 32(3): 296-297.
16. 王克平, 李智明, 周海宇, 等. 人工肱骨頭置換治療老年肱骨近端三、四部分骨折療效分析. 中國臨床解剖學雜志, 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. 付中國, 姜保國, 張殿英, 等. 肱骨假體置換Cable-needle內置式環扎“T”形加壓固定大小結節治療肱骨近端骨折. 中華創傷雜志, 2008, 24(10): 799-803.
19. 付中國. Nice Knot方法在肱骨近端骨折假體置換術大小結節固定修復中的應用. 中華肩肘外科電子雜志, 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. 吳劍宏, 吳騰飛, 王丹, 等. 肱骨大結節骨折向下移位的臨床意義. 中華創傷骨科雜志, 2016, 18(4): 277-282.
25. 莊澄宇, 陳哲, 宋艷艷, 等. 肱骨近端骨折合并肩袖破裂的發病率及與骨折類型和年齡分布的相關性. 中華骨科雜志, 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. 關注肱骨近端骨折整體治療. 中華肩肘外科電子雜志, 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. 李文慶, 張作君, 劉云龍. 肱骨近端脫套樣骨折治療體會. 中國修復重建外科雜志, 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. 唐佶穎, 陶忠亮, 李軍, 等. 同期和延期修復肱骨近端骨折合并的肩袖全層破裂療效比較. 中國修復重建外科雜志, 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, 徐衛東. 反式肩關節置換術并發癥的分析及防治. 中華關節外科雜志(電子版), 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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