Curative effect analysis of scapula lateral margin approach and standard Judet approach in the operative treat-ment of scapular fracture
10.11659/jjssx.1672-5042.201403022
- VernacularTitle:肩胛骨外侧缘入路与标准Judet入路手术治疗肩胛骨骨折的疗效
- Author:
Ping HE
;
Shi LI
;
Jingbo LIN
- Publication Type:Journal Article
- Keywords:
scapula;
fractures;
operative treatment
- From:
Journal of Regional Anatomy and Operative Surgery
2014;(3):277-279
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of scapula lateral margin approach and standard Judet approach in the operative treatment of scapular fracture. Methods Medical data of 48 patients with scapular fractures from January 2006 to February 2013 were retrospectively analyzed. They were divided into the observation group and the control group according to the surgical approach. 27 patients in the observation group were treated with operative treatment through scapula lateral margin approach and 21 patients in the control group were treated with sur-gical treatment through standard Judet approach. Compared the clinical effects and complications of the patients in two groups. Results To operation time and intraoperative hemorrhage in the observation group were less than that of the control group (P<0. 05),fracture healing time was shorter than that of the control group after operation (P<0. 05). Six months after operation,the excellent rate of the observation group was higher than that of the control group. Scores of daily activities and myodynamia in the observation group were higher than that of the control group,the differences were statistically significant(P<0. 05),and there was no significant difference in the scores of pain and joint motion between the groups(P>0. 05). Conclusion Scapula lateral margin approach in treatment of scapular fracture has the advanta-ges of easy operation,small trauma,definite effect,little complication and it can be used as the preferred scheme of scapular fracture operative treatment.
