摘要
目的探讨严重移位的肩胛骨骨折的手术入路和内固定方法。方法回顾分析我院自2004年1月至2010年1月经手术治疗的严重移位的肩胛骨骨折患者36例,其中开放性骨折取原伤口入路,闭合性骨折分别取肩关节前侧、后上入路,肩胛骨后侧、肩胛骨外侧缘入路及前后联合入路。骨折复位后运用重建钢板、螺钉、可吸收螺钉、克氏针、钢丝张力带进行内固定。结果 36例患者全部获得随访,随访时间6～35个月,平均19个月。采用Hardegger肩关节功能评定标准,优12例,良18例,可5例,差1例。平均骨折临床愈合时间8～12周。结论对于严重移位的肩胛骨骨折早期进行手术治疗,选择合适的手术入路和内固定方式,术后进行系统的康复治疗和功能锻炼,可获得较好的疗效。
Objective To explore selection of surgical approaches and internal fixation for serious displaced scapular fractures.Methods The clinical data of 36 patients with serious displaced scapular fractures that had been operated from January 2004 to January 2010 were retrospectively analyzed.The operations were performed through entry of the original wound sites for open fractures and via anterior,posterior,posteriorosuperior,lateral border and anterior combined posterior approaches for closed fractures.Reconstruction plates,lag screws,adsorbable lag screws and Kirschner wire were used to fix the fractures after reduction.Resuls 36 cases had an average followed up time of 19 months（from 6 to35 months）.According to Hardegger′s evaluation criterion,12 cases showed excellent results,18 good,5 fair and 1 poor with an excellent-to-good rate of 83.3%.The average time of clinical union of fracture were 8～12 weeks.Conclusion Satisfactory results can be achieved by the choices of early operation with appropriate approach and reasonable fixation method as well as systematically functional exercises for serious displaced scapular fractures.
出处
《实用骨科杂志》
2011年第3期206-208,共3页
Journal of Practical Orthopaedics
关键词
严重移位
肩胛骨
骨折
治疗
serious displaced
scapula
fracture
treatment
