Treatment for complex scapular fracture with minimally invasive modified Judet approach and annularity internal fixation
10.3969/j.issn.1672-8467.2017.04.020
- VernacularTitle:改良微创Judet入路环形内固定治疗复杂肩胛骨骨折
- Author:
Mingxin WANG
;
Dechang LIU
;
Kun WANG
;
Yue DING
- Keywords:
minimally invasive;
scapular;
shoulder fracture;
fracture fixation
- From:
Fudan University Journal of Medical Sciences
2017;44(4):507-511
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinical effect of surgical treatment of complex scapular fracture with improved minimally invasive Judet approach and annularity internal fixation.Methods In this retrospective study,17 patients with complex scapular fracture accepted open reduction and internal fixation with improved minimally invasive Judet approach complying with the three points-two lines annularity internal fixation principle.After postoperative rehabilitation training,the curative effect was evaluated by the neer shoulder joint function score evaluation.Results All the 17 patients were followed up for 14 months on average (12-25 months).According to neer score evaluation,the percent of patients with excellent and good results was 88.2% (excellent:12 cases;good:3 cases;middle:2cases;unsatisfactory:no case).Conclusions Improved minimally invasive Judet approach hase simple operation,adequate exposure and less injury.Annularity internal fixation complying with the three points-two lines principle is a safe and effective method for the treatment of complex scapular fracture.