关节镜辅助下手术治疗肩胛盂骨折

Treatment of glenoid cavity fracture with arthroscope-assisted surgery

目的探讨关节镜辅助下复位固定治疗肩胛盂骨折疗效。方法对2007年1月-2009年1月8例肩胛盂骨折患者采用关节镜辅助下手术治疗。其中Ideberg改良肩胛盂骨折分类:Ⅰ型2例、Ⅱ型2例、Ⅲ型1例采用肩胛盂颈部空心螺钉固定;Ⅳ型2例、Ⅴ型1例采用肩胛盂颈部空心螺钉固定和肩胛骨内外侧缘重建钢板固定。结果随访8例,平均31个月(21-40个月)。骨折全部愈合,愈合时间平均11周,肩关节功能评估采用美国加州洛杉矶大学功能评分(UCLA)标准,平均34分,优良率87.5%。结论关节镜辅助下手术治疗肩胛盂骨折具有创伤小,安全性高,复位好,骨折愈合快和关节功能恢复良好、并发症少等优点。

Objective To study the therapeutic effect of arthroscopic reduction and internal fixation on glenoid cavity fracture. Methods Eight patients with gtenoid cavity fracture were treated with arthroscopic reduction and fixation in our hospital from January 2007 to January 2009. The fracture was classified as types I-V in 2, 2, 1, 2 and 1 patients, respectively, according to the modified Idebery classification method. Types II-IV fractures were fixed with hollow screws through the neck of glenoid cavity. Types IV and V fractures were fixed with hollow screws through the neck of glenoid cavity and plates on both borders of scapula. Results The patients were followed up for an averaged time of 31 months （range, 21-40 months） after operation. All glenoid cavity fractures were healed with an average healing time of 11 weeks（range, 8-12 weeks）. The mean UCLA score was 34 （range, 31- 35）. The excellent and good healing rate was 87.5%. Conclusion for glenoid cavity fracture with the advantages of less traumas, complication. Arthroscopic reduction and internal fixation is a good procedure good safety, good reduction, good functional recovery, and less