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Lin IH, Lin TL, Chang HW, Lin CY, Tsai CH, Lo CS, Chen HY, Chen YW, Hsu CJ. Arthroscopy-Assisted Reduction and Internal Fixation versus Open Reduction and Internal Fixation for Glenoid Fracture with Scapular Involvement: A Retrospective Cohort Study. J Clin Med 2022; 11:jcm11041131. [PMID: 35207402 PMCID: PMC8875088 DOI: 10.3390/jcm11041131] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 02/16/2022] [Accepted: 02/17/2022] [Indexed: 02/06/2023] Open
Abstract
Background: We investigated the superiority of arthroscopy-assisted reduction and internal fixation (ARIF) to open reduction and internal fixation (ORIF) for treating glenoid fracture with scapular involvement. Methods: We retrospectively enrolled patients with glenoid fracture who underwent ARIF or ORIF from 2010–2020. Radiographic outcomes were assessed, and clinical outcomes (active range of motion [ROM], visual analog scale [VAS], Constant, and Disabilities of the Arm, Shoulder and Hand [DASH]) were evaluated 12 months postoperatively. Results: Forty-four patients with Ideberg type II–VI glenoid fractures (ARIF: 20; ORIF: 24; follow-up 12–22 months) were included. Union was achieved in all patients. Active ROM values were comparable between the approaches. Constant and DASH scores were non-significantly better with ARIF (90.9 ± 9.2 vs. 86.6 ± 18.1 [p = 0.341] and 6.8 ± 9.4 vs. 9.3 ± 21.3 [p = 0.626], respectively). However, VAS scores were significantly lower with ARIF (1.5 ± 0.6 vs. 2.7 ± 1.4, p = 0.001). Associated intra-articular lesions (articular depressions [80%], superior labral anterior-posterior tear [20%], labral tears [30%]) were found in most ARIF cases and were repaired during ARIF. Conclusions: For glenoid fracture with scapular involvement, ARIF allows accurate diagnosis of fracture pattern and the management of associated intra-articular lesions, with better pain control outcomes than ORIF. Thus, arthroscopy-assistant surgery should be considered in patient with glenoid fracture.
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Affiliation(s)
- I-Hao Lin
- Department of Orthopedics, China Medical University Hospital, Taichung 40447, Taiwan; (I.-H.L.); (T.-L.L.); (H.-W.C.); (C.-Y.L.); (C.-H.T.)
| | - Tsung-Li Lin
- Department of Orthopedics, China Medical University Hospital, Taichung 40447, Taiwan; (I.-H.L.); (T.-L.L.); (H.-W.C.); (C.-Y.L.); (C.-H.T.)
- Department of Sports Medicine, College of Health Care, China Medical University, Taichung 406040, Taiwan
- Graduate Institute of Biomedical Sciences, China Medical University, Taichung 40402, Taiwan;
| | - Hao-Wei Chang
- Department of Orthopedics, China Medical University Hospital, Taichung 40447, Taiwan; (I.-H.L.); (T.-L.L.); (H.-W.C.); (C.-Y.L.); (C.-H.T.)
| | - Chia-Yu Lin
- Department of Orthopedics, China Medical University Hospital, Taichung 40447, Taiwan; (I.-H.L.); (T.-L.L.); (H.-W.C.); (C.-Y.L.); (C.-H.T.)
| | - Chun-Hao Tsai
- Department of Orthopedics, China Medical University Hospital, Taichung 40447, Taiwan; (I.-H.L.); (T.-L.L.); (H.-W.C.); (C.-Y.L.); (C.-H.T.)
- Department of Sports Medicine, College of Health Care, China Medical University, Taichung 406040, Taiwan
| | - Chien-Sheng Lo
- Department of Orthopedics, Chung Shan Medical University Hospital, Taichung 40201, Taiwan;
| | - Hui-Yi Chen
- Department of Medical Image, China Medical University Hospital, Taichung 40447, Taiwan;
| | - Yi-Wen Chen
- Graduate Institute of Biomedical Sciences, China Medical University, Taichung 40402, Taiwan;
- X-Dimension Center for Medical Research and Translation, China Medical University Hospital, Taichung 40447, Taiwan
- Department of Bioinformatics and Medical Engineering, Asia University, Taichung 41354, Taiwan
| | - Chin-Jung Hsu
- Department of Orthopedics, China Medical University Hospital, Taichung 40447, Taiwan; (I.-H.L.); (T.-L.L.); (H.-W.C.); (C.-Y.L.); (C.-H.T.)
- School of Chinese Medicine, China Medical University, Taichung 404333, Taiwan
- Correspondence: ; Tel.: +886-4-2205-2121
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Bonnevialle N, Clavert P, Arboucalot M, Bahlau D, Bauer T, Ehlinger M. Contribution of arthroscopy in the treatment of anterior glenoid rim fractures: a comparison with open surgery. J Shoulder Elbow Surg 2019; 28:42-47. [PMID: 30262253 DOI: 10.1016/j.jse.2018.07.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2018] [Revised: 06/26/2018] [Accepted: 07/03/2018] [Indexed: 02/01/2023]
Abstract
BACKGROUND This study assessed the clinical and radiologic outcomes of Ideberg type IA glenoid fractures treated using conventional open surgery compared with those treated with arthroscopic surgery. MATERIALS AND METHODS This was a retrospective, multicenter study of anterior glenoid rim fractures (Ideberg IA) treated with conventional open surgery (group O) or arthroscopic surgery (group A). Included were 56 patients: 10 in group O and 46 in group A. The patients were reviewed after a minimum of 12 months of follow-up. The Constant score was used as an objective clinical outcome. Radiographs were reviewed to assess the quality of the postoperative reduction, fracture healing, complications, and whether osteoarthritis was present at the last follow-up. RESULTS At a mean follow-up of 30 months (range, 12-115 months), there was no significant difference between the groups based on the Constant Score (group O: 74 points; group A: 84 points, P = .07). None of the shoulders showed signs of instability. Conversely, the rate of postoperative complications was higher in group O than in group A (30% vs. 4%; P = .03). Glenohumeral osteoarthritis was found in 10% of group O patients and 18% of group A patients (P = .65). CONCLUSIONS This study shows that anterior glenoid rim fractures have similar functional outcomes, whether treated using conventional open surgery or arthroscopic surgery. Arthroscopic surgery appears to reduce the complication and reoperation rate.
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Affiliation(s)
- Nicolas Bonnevialle
- Département d'Orthopédie Traumatologie du Centre Hospitalier Universitaire de Toulouse, Hôpital Riquet, Toulouse, France; Laboratoire de Biomécanique, Institut de Mécanique des Fluides de Toulouse- Unité Mixte de Recherche-Centre National de la Recherche Scientifique, 5502, Hôpital Riquet, Toulouse, France.
| | - Philipe Clavert
- Service de Chirurgie du Membre Supérieur, Centre de Chirurgie Orthopédique et de la Main, Illkirch, France; Laboratoire ICube, Centre National de la Recherche Scientifique Unité Mixte de Recherche 7357, Ilkirch, France
| | - Marine Arboucalot
- Département d'Orthopédie Traumatologie du Centre Hospitalier Universitaire de Toulouse, Hôpital Riquet, Toulouse, France
| | - David Bahlau
- Service de Chirurgie du Membre Supérieur, Centre de Chirurgie Orthopédique et de la Main, Illkirch, France
| | - Thomas Bauer
- Service d'Orthopédie, Ambroise Paré Hospital, Boulogne Billancourt, France
| | - Matthieu Ehlinger
- Service de Chirurgie Orthopédique et Traumatologie, Hôpital de Hautepierre, Strasbourg, France
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- Société Française de Chirurgie Orthopédique et Traumatologique (SOFCOT), Paris, France
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