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目的：探讨使用空心钉配合缝线张力带技术治疗移位的肱骨大结节骨折的效果。方法：2008 年3 月-2010 年3 月，收治12 例肱骨大结节骨折病人，男10 例，女2 例，年龄21-71 岁，平均年龄46.3 岁。其中8 例摔伤，2 例车祸外伤，2 例运动中损伤并伴有盂肱关节脱位。受伤至手术时间5 小时-1 周。X 线显示大结节骨折移位大于5mm。大结节骨折块采用空心钉配合5-Ethibond 缝线构成的张力带技术进行固定。结果：患者伤口均一期愈合无感染等并发症发生，所有患者均获随访，随访时间9-33 个月，平均 14 个月。X 线显示术后2-4 个月骨折愈合，平均2.5 个月。美国加州大学洛杉矶分校评分标准评分为（33.65±3.83）分；优9 例，良 2 例，可1 例，优良率91.7%。结论：采用切开复位空心钉配合缝线张力带技术治疗肱骨大结节骨折疗效满意，功能恢复良好，疼痛缓解明显。

英文摘要:

Objective: To investigate the operative method and clinical results of open reduction and internal fixation with canulated screws and tension band by suture treatment of fracture of greater tuberosity of humerus. Methods: From March 2008 to March 2010, 12 cases of greater tuberosity fractures were treated. There were 10 males and 2 females with an average age of 46.3 years (range 21-71 years). Eight cases fall down and Two was crushed in traffic accident Another two cases of greater tuberosity fractures with glenohumeral joint dislocation were injured in sport activities. The time from injury to operation from 5 hours-1 week. X-ray films revealed greater tuberosity fractures with displacement more than 5mm. All cases of great tuberosity fractures were fixed with canulated screws and reinforced with 5-Ethibond suture by the principle of tension band. Results: All the incisions were healed at first intention without infection. All patients were followed up for 9-33 months (average 14 months). The X-ray films showed all fractures healed 2-4 months after operation (average 2.5 months). The University of California at Los Angeles scores were 33.65 ± 4.83. Nine cases were excellent, two were good, one was fair and the excellent and good rate was 91.7%. Conclusion: For fracture of greater tuberosity of humerus, the treatment by open reduction and internal fixation with canulated screws and tension band by suture is a safe and satisfying therapeutic effect, good functional recovery, as well as obvious relief of pain.

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