{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T22:46:10Z","timestamp":1778798770801,"version":"3.51.4"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Currently, there is limited information on the clinical outcomes of arthroscopic reduction and double\u2010row suture bridge fixation for large greater tuberosity fractures of the proximal humerus. This study aimed to evaluate the radiological and clinical outcomes of arthroscopic reduction and double\u2010row suture bridge fixation for these fractures, hypothesizing that arthroscopic reduction and double\u2010row suture bridge fixation is a safe, effective and minimally invasive treatment for large greater tuberosity fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study analysed patients with large greater tuberosity fractures (fracture fragment \u226530\u2009mm in diameter) who underwent arthroscopic reduction and double\u2010row suture bridge fixation and had a follow\u2010up period exceeding 2 years. The anatomic reduction was confirmed by assessing the step\u2010off on radiographs immediately after surgery, and the radiologic union time was recorded. At the final follow\u2010up, range of motion and functional outcome scores were evaluated. Additionally, any surgery\u2010related complications were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifteen patients with a mean follow\u2010up of 57.7\u2009\u00b1\u200923.1 months were included in the study. The mean fracture fragment size was 32.5\u2009\u00b1\u20092.4\u2009mm, with a mean displacement of 5.1\u2009\u00b1\u20091.6\u2009mm. Immediately postsurgery, 13 of 15 patients (86.7%) had a fracture step\u2010off of &lt;3\u2009mm, with an average union time of 3 months. At the final follow\u2010up, patients demonstrated excellent outcomes, with an average forward flexion of 167\u2009\u00b1\u20099.7\u00b0 and external rotation of 70\u2009\u00b1\u200916.3. Functional outcome scores showed significant improvement compared with preoperative scores (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). No major surgery\u2010related complications were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Arthroscopic reduction and double\u2010row suture bridge fixation for large\u2010sized greater tuberosity fractures is safe and shows good fracture reduction and excellent clinical outcomes. Therefore, this surgical method can be considered an alternative to open reduction for large greater tuberosity fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12506","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T04:55:21Z","timestamp":1728968121000},"page":"1500-1506","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Excellent clinical and radiological outcomes after arthroscopic reduction and double row\u2010suture bridge for large\u2010sized greater tuberosity fractures of the humerus"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0609-1762","authenticated-orcid":false,"given":"Sang\u2010Hun","family":"Ko","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Ulsan College of Medicine Ulsan University 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Medicine Ulsan University Hospital Ulsan Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4862-9679","authenticated-orcid":false,"given":"Young Dae","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Ulsan College of Medicine Ulsan University Hospital Ulsan Republic of 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