ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024
Comparison between arthroscopic suture anchor fixation and open plate fixation in the greater tuberosity fracture of the proximal humerus.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 6 citations in OpenAlex.
- Treatment of isolated greater tuberosity fractures: a scoping review.JSES reviews, reports, and techniques · 2026Review
- Plate fixation combined with suture bridge technique for proximal humeral fracture-dislocation with displaced greater tuberosity: a case series.International journal of surgery case reports · 2026Article
- Distal radius T-shaped locking plate with suture anchors for humeral greater tuberosity fracture with rotator cuff injury: A case report.SAGE open medical case reports · 2026Article
- Outcomes of Displaced Greater Tuberosity Fractures Treated with Screw Fixation and Double Row Suture Bridge Technique.Archives of orthopaedic and trauma surgery · 2025Article
- Irreducible Anterior Shoulder Dislocation with Greater Tuberosity Fracture: Joystick Reduction and Biceps Preservation in an Elderly Female -A Case Report.Journal of orthopaedic case reports · 2025Article
- Current Evidence and Surgical Strategies in the Management of Greater Tuberosity Fracture-Dislocations: A Narrative Review.Journal of clinical medicine · 2025Review
- Excellent clinical and radiological outcomes after arthroscopic reduction and double row-suture bridge for large-sized greater tuberosity fractures of the humerus.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Therapeutic effect of titanium locking plate combined with suture anchor repair in proximal humeral fractures.Pakistan journal of medical sciences · 2025Article
- Rational construction of PCL-PEG/CS/AST nanofiber for bone repair and regeneration.Frontiers in bioengineering and biotechnology · 2024Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe purpose of this study is to compare the clinical and radiological outcomes of patients undergoing open reduction and internal fixation (OR/IF) using a plate or patients undergoing an arthroscopic suture anchor fixation for the greater tuberosity (GT) fracture of the proximal humerus. The purpose of this study is to compare the clinical and radiological outcomes of patients undergoing OR/IF or an arthroscopic suture anchor fixation for the GT fracture. MATERIALS AND
methodsBetween January, 2010 and December, 2020, 122 patients with GT fracture underwent operative fixation. Either OR/IF using proximal humeral locking plate (50 patients) or arthroscopic suture anchor (72 patients) fixation was performed. Fourteen patients were lost to follow-up and finally, 108 patients were enrolled in this study. We divided these patients into two groups: (1) OR/IF group (Group I: 44 patients) and arthroscopic anchor fixation group (Group II: 64 patients). The primary outcome was subjective shoulder function (shoulder functional scale). Secondary outcomes were range of motion, and complications including GT fixation failure, fracture migration, or neurologic complication. Also, age, sex, BMI, operation time, shoulder dislocation, fracture comminution, AP (anteroposterior), SI (superoinferior) size and displacement were evaluated and compared between two groups.
resultsBoth groups showed satisfactory clinical and radiological outcomes at mid-term follow-up. Between 2 groups, there were no significant differences in age, sex, BMI, presence of shoulder dislocation or comminution. Group II showed higher clinical scores except VAS score (p < 0.05) and longer surgical times (95.3 vs. 61.5 min). Largest fracture displacement (Group I vs. II: SI displacement: 40 vs. 13 mm, and AP displacement: 49 vs. 11 mm) and higher complication rate (p = 0.049) was found in Group I.
conclusionsBoth arthroscopic anchor fixation and open plate fixation methods showed satisfactory outcomes at mid-term follow-up. Among them, OR/IF is preferred for larger fracture displacement (> 5 mm) and shorter operation time However, arthroscopic anchor fixation group showed better clinical outcomes and less complications than the OR/IF group. LEVEL OF EVIDENCE: Level 4, Case series with subgroup analysis.
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