Abstract：
Greater tuberosity fractures of the humerus can be challenging to manage due to their complex anatomy and the potential for compromised shoulder function. We present a novel technique for treating greater tuberosity fractures utilizing specialized anatomical plates and rotator cuff reinforcement. The technique involves the use of an anatomically T-shaped plate designed specifically for the greater tuberosity region of the humerus, allowing for precise fixation and stability. Additionally, rotator cuff reinforcement is performed using sutures to enhance structural integrity and promote early mobilization. The simplified process is as follows: After administering anesthesia, a 3 cm incision is made along the lateral aspect of the shoulder to precisely expose the fracture site of the greater tuberosity. A suture of size 5 is skillfully threaded through the tough rotator cuff tendon to securely attach the proximal humerus to the anatomical plate after the greater tuberosity has been reduced. Intraoperative fluoroscopy is utilized to verify the accurate positioning of plates and screws. After ensuring everything is correct, the surgery concludes.
摘要：
肱骨的大结节骨折由于其复杂的解剖结构和潜在的肩关节功能受损而具有挑战性。我们提出了一种利用专门的解剖钢板和肩袖加固治疗较大结节骨折的新技术。该技术涉及使用专门为肱骨大结节区域设计的解剖学T形板，允许精确的固定和稳定。此外,肩袖加固是使用缝合线来增强结构完整性和促进早期动员。简化的过程如下：麻醉后，沿肩部的外侧切开3厘米的切口，以精确暴露大结节的骨折部位。尺寸为5的缝合线巧妙地穿过坚韧的肩袖肌腱，以在大结节减少后将肱骨近端牢固地连接到解剖板上。术中透视检查用于验证板和螺钉的精确定位。在确保一切正常之后,手术结束。
