Transosseous braided-tape and double-row fixations are better than tension band for avulsion-type greater tuberosity fractures

Brais, Godefroy; Ménard, Jérémie; Mutch, Jennifer; Laflamme, G. Yves; Petit, Yvan; Rouleau, Dominique M.

doi:10.1016/j.injury.2015.02.007

Cited by 19 publications

(14 citation statements)

References 19 publications

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“…Moreover, the transosseous braided-tape additionally presents an economic advantage being less expensive. 7 This technique has some risks and limitations (Table 1) related to the creation of the transosseous tunnel, such as the iatrogenic fracture of the humerus that may result in the need to convert to open surgery. For this reason, to prevent cracking the cortex, it is mandatory that the lateral entry point is established 2 cm below the lateral fracture margin.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the transosseous braided-tape additionally presents an economic advantage being less expensive. 7 …”

Section: Discussionmentioning

confidence: 99%

“… 4 To treat the GT fracture avulsion different techniques are proposed, 5 , 6 such as the tension band wire suture, transosseous braided-tape, and double-row suture bridge with anchor. 7 , 8 The last 2 options may be considered superior in terms of mechanical proprieties, strength, and stability. Especially in comminuted or eggshell fractures when rigid fixation is not feasible with only anchors, the aim to prevent GT fracture displacement has been recently proposed with the use of the subacromial spacer (InSpace balloon, Stryker, USA) to better compress and stabilize the fracture.…”

mentioning

confidence: 99%

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Fracture Avulsion of the Greater Tuberosity: Arthroscopic Transosseous Augmented Technique

Chillemi

Proietti

Rengo

et al. 2021

Arthroscopy Techniques

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The fracture avulsion of the greater tuberosity (GT) represents 2% of all humerus fractures, but the true incidence is likely to be higher, being challenging the initial diagnosis on radiograph. The fracture avulsion of the GT could have different treatments: nondisplaced or minimally displaced fractures are treated conservatively, whereas for displaced or comminuted fractures surgical treatment is preferred. The most important finding of this study is the employment of an all-arthroscopic transosseous augmented technique for the treatment of a displaced humeral GT fracture avulsion. This technique shows all the advantages of the transosseous fixation and arthroscopic approach.

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Section: Discussionmentioning

confidence: 99%

“…Moreover, the transosseous braided-tape additionally presents an economic advantage being less expensive. 7 …”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Fracture Avulsion of the Greater Tuberosity: Arthroscopic Transosseous Augmented Technique

Chillemi

Proietti

Rengo

et al. 2021

Arthroscopy Techniques

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“…14 More recently, transosseous sutures and transosseous-equivalent technique using suture anchors have superseded tension band constructs for displaced greater tuberosity fractures. 51 Operative treatment of these displaced greater tuberosity fractures has been reported to result in superior outcomes compared with nonoperative treatment. 52…”

Section: Isolated Greater Tuberosity Fracturesmentioning

confidence: 99%

Surgical Management of Proximal Humeral Fractures: The Emerging Role of Reverse Total Shoulder Arthroplasty

Cvetanovich¹,

Frank²,

Chalmers³

et al. 2016

Orthopedics

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Acute proximal humeral fractures are common injuries in elderly patients. These fractures can lead to significant pain and functional loss. Nonoperative treatment offers high rates of satisfactory function and pain relief in the majority of fractures, particularly in elderly patients. Open reduction and internal fixation, closed reduction and percutaneous pinning, and hemiarthroplasty are used for treating displaced proximal humeral fractures, depending on patient and fracture characteristics. Recently, reverse total shoulder arthroplasty has gained popularity for treatment of complex proximal humeral fractures due to a rapid recovery of active elevation and activities of daily living function. Although complications remain a concern, early results of reverse total shoulder arthroplasty for proximal humeral fractures have been promising. Future comparative outcome studies are needed to define the indications for reverse total shoulder arthroplasty instead of nonoperative and other operative options. Optimal treatment of proximal humeral fractures requires clinical judgment based on fracture characteristics, bone quality, patient factors, and surgeon experience with the array of available techniques. [Orthopedics. 2016; 39(3):e465-e473.].

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“…4) Various fixation methods for GT fractures exist, including the transosseous suture fixation, the cannulated screw fixation, the plate fixation, the cerclage wire fixation, and the arthroscopic suture anchor fixation. 3,[5][6][7][8][9][10][11] For patients with olecranon fractures or those who have undergone olecranon osteotomies, 3.5-mm locking compression plate (LCP) hook plate (Synthes, West Chester, PA, USA) is commonly used for fixation. For GT fixation, this plate has lower profile than the proximal humeral plates and, therefore, lower the chances of postoperative subacromial impingements.…”

Section: Introductionmentioning

confidence: 99%

Hook Plate Fixation for Isolated Greater Tuberosity Fractures of the Humerus

Lee¹,

Bae

Yon³

et al. 2017

Clin Shoulder Elbow

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BACKGROUND: The purpose of this study was to investigate the outcomes after fixation using a 3.5-mm locking compression plate (LCP) hook plate for isolated greater tuberosity (GT) fractures of the proximal humerus.METHODS: We evaluated the postoperative radiological and clinical outcomes in nine patients who were followed up at least 1 year with isolated GT fractures. Using the deltopectoral approach, we fixed the displaced GT fragments with a 3.5-mm LCP hook plate (Synthes, West Chester, PA, USA). Depending on the fracture patterns, the hook plate was fixed with or without augmentation using either tension suture or suture anchor fixation.RESULTS: All the patient showed successful bone union. The mean time-to-union was 11 weeks. The radiological and clinical outcomes at the final follow-up were generally satisfactory. The mean visual analogue scale for pain, the University of California at Los Angeles score, the American Shoulder and Elbow Surgeons score, and the subjective shoulder value were 1.4, 30.3, 84.3, and 82.2%, respectively. The mean active forward flexion, abduction, external rotation, and internal rotation of the shoulder were 156.7°, 152.2°, 61.1°, and the 10th thoracic vertebral level, respectively. Only one patient presented with a postoperative complication of shoulder stiffness. The patient was treated through arthroscopic capsular release on the 5th postoperative month.CONCLUSIONS: We conclude that fixation using 3.5-mm LCP hook plates for isolated GT fractures of the proximal humerus is a useful treatment method that provides satisfactory clinical and radiological outcomes.

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Transosseous braided-tape and double-row fixations are better than tension band for avulsion-type greater tuberosity fractures

Cited by 19 publications

References 19 publications

Fracture Avulsion of the Greater Tuberosity: Arthroscopic Transosseous Augmented Technique

Fracture Avulsion of the Greater Tuberosity: Arthroscopic Transosseous Augmented Technique

Surgical Management of Proximal Humeral Fractures: The Emerging Role of Reverse Total Shoulder Arthroplasty

Hook Plate Fixation for Isolated Greater Tuberosity Fractures of the Humerus

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