Clinical Effect of the Axillary Approach to Acute Anterior Glenoid Fractures
试验速览
- 阶段
- 不适用
- 入组人数
- 15
- 试验地点
- 2
- 主要终点
- fracture union
研究概览
简要总结
Glenoid fractures result in glenohumeral post-trauma arthritis and instability. Operative treatment is indicated for severe fractures. The traditional deltopectoral approach, which requires detachment of the subscapularis, has many drawbacks, including loss of external rotation and suboptimal fixation. Arthroscopic techniques also cannot allow anatomic reduction and biomechanical stability for large fractures. We describe an alternative approach that enters from the axilla through the interval between the rotator cuff and the inferior glenoid, neck and lateral border of the scapula without detachment of the rotator cuff.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Traumatic and closed fractures
- •Fracture type conforms to Ideberg Ia classification or AO/OTA F1.1 classification
- •Fracture displacement ≥4mm, the area of involvement ≥20%.
排除标准
- •Severe multiple trauma
- •Pathological fracture
- •Unable to tolerate surgical treatment
- •The interval between injury and operation was > 2 weeks
结局指标
主要结局
fracture union
时间窗: 6 months
X-rays and CT scans are used to evaluate the bone union
the Constant and Murley scores
时间窗: 2 years
The questionaire evaluates shoulder function in terms of pain (15 points), daily activities (20 points), range of motion (40 points) and muscle strength (25 points) on a scale of 100, with the higher the score, the better the function.
the DASH(disabilities of the arm，shoulder and hand) scores
时间窗: 2 years
Shoulder function was evaluated by patients' subjective feelings about pain, activity, daily life, work and entertainment of the affected limb in the past 1 week. A total of 30 items were evaluated, and the score of each item was 1-5, DASH= (total score-30) /1.2, with the maximum score of 100, the lower the score, the better the function
次要结局
- Complications(2 years)