肩胛骨骨折15例临床分析

Clinic analysis of 15 cases with scapular fractures

目的探讨手术治疗不稳定的肩胛骨骨折的疗效。方法回顾1998年￣2003年收治的15例肩胛骨骨折的临床资料。根据AO分型方法:稳定的关节外骨折3例,不稳定的关节内骨折5例和不稳定的关节外骨折7例。通过后方入路,前方入路及前后联合入路对不稳定的12例肩胛骨骨折进行了骨折切开复位,拉力螺钉及重建钢板固定。结果12个手术病例随访12￣36个月。Neer评定,优良9例,不满意2例,失败1例。结论对于移位严重的肩胛体部骨折和骨突部骨折及不稳定的关节内、外骨折采用手术治疗,可以获得满意的疗效。

To explore the result of surgical treatment for instable scapular fractures. Fifteen cases with scapular fractures that had been admitted from 1998-2003 were retrospectively analyzed. According to AO's classification for scapular fractures. There were 3 cases for stable outer join fractures, 5 cases for instable inner joint fractures and 7 cases for instable outer joint fractures. The 12 instable fractures were exposed through posterior approach, anterior approach and anterior combined posterior approach and fixed with lag screws and reconstruction plates. All of the 12 cases were followed up for 12-36 months. According to Neer's evaluation,9 cases showed excellent result, 2 cases showed discontented result and 1 poor. [Conclusion] Open reduction and internal fixation is an useful and content treatment for specific displaced fractures of the body and coracoid or instable inner and outer joint fractures of scapula.