关节镜手术治疗急性肩关节前脱位合并单纯肱骨大结节骨折的临床效果

The Clinical Effect of Arthroscopic Surgery in Treatment of Acute Anterior Dislocation of Shoulder with Simple Fracture of Greater Tuberosity of Humerus

目的:对急性肩关节前脱位合并单纯肱骨大结节骨折采用关节镜手术治疗的临床效果进行探究。方法:研究对象为笔者所在医院2015年12月-2018年12月收治的急性肩关节前脱位合并单纯肱骨大结节骨折患者70例。按照随机数字表法分为两组,每组35例。对照组采用保守治疗,观察组采用关节镜下手术治疗,对两组治疗总有效率及肩关节恢复情况进行比较。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组肩关节恢复情况优于对照组,差异有统计学意义(P<0.05)。结论:对急性肩关节前脱位合并单纯肱骨大结节骨折的患者,采用关节镜手术治疗能够提高治疗效果,并促进肩关节的恢复,降低疼痛,提高自理能力。

Objective:To explore the clinical effect of arthroscopic surgery in the treatment of acute anterior dislocation of shoulder combined with simple fracture of greater tubercle of humerus.Method:A total of 70 patients with acute anterior dislocation of shoulder and simple fracture of greater tubercle of humerus were studied from December 2015 to December 2018.According to the random number table method,they were divided into two groups,with 35 cases in each group.Conservative treatment was used in the control group and arthroscopic surgery was used in the observation group.The total effective rate and shoulder joint recovery were compared between the two groups.Result:The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The recovery of the shoulder joint in the observation group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Arthroscopic surgery can improve the therapeutic effect,promote the recovery of shoulder joint,reduce pain and improve self-care ability in patients with acute anterior dislocation of shoulder joint combined with simple fracture of greater tuberosity of humerus.