Clinical analysis of posterior axillary approach internal fixation for IdebergⅠa andⅡglenoid fractures.
10.12200/j.issn.1003-0034.2023.10.017
- Author:
Fu-de JIAO
1
;
Yun-Qiang ZHUANG
1
;
Jing-Wei ZHANG
1
;
Qing WANG
1
;
Lin AN
1
;
Li-Mei ZHU
1
;
Jian-Ming CHEN
1
;
Xian-Feng HE
1
;
Dan-Kai WU
1
Author Information
1. The Traumatic Othopaedics, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Fracture fixation, internal;
Glenoid fractures;
Scapula
- MeSH:
Male;
Female;
Humans;
Middle Aged;
Aged;
Fractures, Bone/surgery*;
Fracture Fixation, Internal;
Shoulder/surgery*;
Scapula/surgery*;
Shoulder Fractures;
Fractures, Closed;
Treatment Outcome;
Retrospective Studies
- From:
China Journal of Orthopaedics and Traumatology
2023;36(10):1005-1010
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the efficacy of posterior axillary approach internal fixation for Ideberg Ⅰa andⅡ glenoid fractures.
METHODS:From December 2018 to September 2021, 9 patients with lower part of glenoid fractures were treated by posterior axillary approach, including 3 males and 6 females, aged from 50 to 78 years old. All the fractures were closed fractures. According to Ideberg type of scapular glenoid fracture was type Ⅰa in 6 cases and type Ⅱ in 3 cases. AP and lateral X-ray films of scapula were taken at 6, 12 weeks and 6 and 12 months postoperatively. Constant-Murley and disabilities of the arm shoulder and hand (DASH), and other complications were recorded at the latest follow-up.
RESULTS:Nine patients were followed up, ranged from 6 to 15 months. And bone healing was achieved in all 9 patients at the final follow-up, the healing time 3 to 6 months, Constant-Murley score at the final follow-up ranged from 55 to 96, and DASH score ranged from 3.33 to 33.33. Both of them were better than preoperative.
CONCLUSION:The posterior axillary approach internal fixation for Ideberg Ⅰa and Ideberg Ⅱ Glenoid fractures scapular fracture is satisfactory and worthy of clinical application.
