切开复位重建钢板内固定治疗累及肩盂的肩胛骨骨折

Treatment of Intra-articular Genoid Fossa Fractures with Open Reduction and Internal Fixation Using Reconstructive Plate

目的探讨累及肩盂的肩胛骨折的治疗方法。方法回顾性分析2003年1月～2007年1月采用切开复位重建钢板内固定治疗的12例累及肩盂的肩胛骨骨折的疗效,记录术后并发症,骨折愈合时间,肩关节外展活动度,采用Neer和UCLA标准评价肩关节功能。结果10例得到平均15.2个月的随访。无表浅和深部感染,骨折均获得骨性愈合,骨折愈合时间12～16周,平均13.5周,肩关节外展90～180°,平均158°。根据Neer肩关节评分标准:优7例,满意3例。根据UCLA评分标准:优7例,良3例。结论采用切开复位重建钢板内固定治疗累及肩盂的肩胛骨骨折可获得满意的临床效果。

Objective To explore the methods of treatment of displaced intra - articular glenoid fossa fractures. Methods Between Jan. 2003 and Jan. 2007, 12 patients with displaced intra - articular gelnoid fossa fracture were surgically treated with open reduction and internal fixation using reconstructive plate. The complications after operation, the bone healing time, the abduction of affected shoulder were recorded. Functional outcomes of the shoulder were rated using Neer＇s score and UCLA score system. Results The data of the 10 patients were retrospectively analyzed with average 15.2 months （range： 7 to 27 months） follow - up. There was neither superficial nor .deep infection case in this series. All the fractures were united with mean 13.5 weeks （range： 12 to 16 weeks）. The mean abduction of the affected shoulder was 158 degree （range： 90 to 180 degrees）. According to Neer shoulder score system, 7 patients had excellent resuits, and 3 had satisfactory ones. Seven patients had excellent results and 3 had good results according to the UCLA score system. Conclusion The satisfactory results could be obtained when open reduction and internal fixation using reconstructive plate is applied to treat intra - articular glenoid fossa fractures