微型锁定钛板治疗不稳定性肩胛骨骨折

Treatment of unstable scapula fracture with miniature locking titanium plate

目的探讨微型锁定钛板治疗不稳定性肩胛骨骨折的疗效。方法选取2018年1月~2020年12月使用微型锁定钛板治疗不稳定性肩胛骨骨折患者21例,分别取Judet入路、肩胛骨外侧缘加辅助入路,骨折复位后使用微型锁定钛板进行固定。结果21例患者全部完成随访,时间为3~20个月,平均9个月,术后复查X线片结果示复位满意。根据Hardegger功能评定标准,其中优18例,良2例,可1例,优良率达95.2%。结论对于不稳定性肩胛骨骨折,根据骨折部位选择相应的入路使用微型锁定钛板内固定,辅以早期功能锻炼,疗效良好。

Objective To investigate the effect of miniature locking titanium plate in the treatment of unstable scapula fracture.Methods From January 2018 to December 2020,21 patients with unstable scapular fractures were treated with miniature locking titanium plates.Judet approach,auxiliary approach to the lateral border approaches were adopted at the scapula respectively.After fracture reduction,miniature locking titanium plates were used for fixation.Results X-ray examination results showed satisfactory postoperative reduction.According to Hardegger′s evaluation criterion,18 cases showed excellent results,2 good and 1 fair with an excellent-to-good rate of 95.2%.Conclusion For the unstable scapula fracture,the corresponding approach was selected according to the fracture site and the miniature locking titanium plate was used for internal fixation,supplemented by early functional exercise,and the effect was satisfactory.