Arthroscopic Treatment Versus open Reduction Technique for Fracture of Greater Tuberosity of Humerus

Abstract

Purpose of study is to analyze clinical effectiveness by comparing results about arthroscopic treatment versus open reductiontechnique for fracture of greater tuberosity of Humerus. Methods is that from Oct. 2009 to Mar. 2013, 14 patients (group A)who got arthroscopic treatment and 9 patients (group O) who got open reduction technique for fracture of greater tuberosity ofHumerus, all 23 patients, were analyzed retrospectively. Clinical and functional evaluation were fulfilled by final range of motion,Constant score and The university of California at Los angeles(UCLA) score. Bone union was evaluated by radiologic finding. Of23 patients, female were 20 patients and male were 3 patients. Mean age was 62.6(39-81) years. From followed-up group A,Union period was mean 33.5(28-38) days, UCLA score was mean 30.8(28~33) points, forward flexion range was170.7°(150~180°), abduction range was 156.8°(110~180°), constant score was mean 61.0(43~73) points. From followed-upgroup O, Union period was mean 34.4(31~38) days, UCLA score was mean 30.8(28~33) points, forward flexion range was166.1°(150~180°), abduction range was 151.1°(130~180°), constant score was mean 64.7(56~74) points. There was nostatistical difference between the group A and group O.Conclusion is that arthroscopic treatment is effective treatment in aspects of bone union and clinical result comparing openreduction technique for fracture of greater tuberosity of Humerus, Besides, hospitalization period and pain could be reduced byarthroscopic treatment