后路微创切口联合钢板治疗肩胛骨骨折
Minimally Invasive Incision for Scapular Fracture
DOI: 10.12677/HJS.2020.93011, PDF,   
作者: 康 德, 文 涛, 丁雪勇*:重庆市第五人民医院骨科,重庆
关键词: 肩胛骨小切口锁定钢板骨折Scapula Small Incision Locking Plate Fracture
摘要: 目的:探讨小切口锁定钢板内固定治疗肩胛骨骨折的手术效果。方法:选取2010年3月至2018年5月重庆市第五人民医院收治的30例肩胛骨骨折的患者,采用微创切口锁定钢板内固定。使用Hardegger评分系统评价疗效。结果:术后门诊随访6~12个月,平均4.5个月骨折愈合。评分结果显示:功能优:26例,良:4例。结论:小切口锁定钢板固定肩胛骨骨折创伤小,切口感染率低,术后能早期功能锻炼,肩关节功能恢复好,疗效满意。
Abstract: Objective: To explore the effect of small incision locking plate internal fixation in the treatment of scapular fracture. Methods: Thirty patients with scapular fracture were treated well with minimally invasive incision from March 2010 to May 2018. The therapeutic effect was evaluated by Hardegger scoring system. Results: In the postoperative follow-up survey for 6~12 months, with an average of 4.5 months of fracture healing. The results showed 26 excellent cases and 4 good cases. Conclusions: Small incision locking plate fixation of scapular fracture has the advantages of small trauma, low infection rate of incision. The patients will be more satisfied and get better functions from early rehabilitation training.
文章引用:康德, 文涛, 丁雪勇. 后路微创切口联合钢板治疗肩胛骨骨折[J]. 外科, 2020, 9(3): 71-76. https://doi.org/10.12677/HJS.2020.93011

参考文献

[1] Hardegger, F.H., Simpson, L.A. and Weber, B.G. (1984) The Operative Treatment of Scapular Fractures. The Journal of Bone and Joint Surgery. British Volume, 66, 725-731. [Google Scholar] [CrossRef
[2] 梁伟, 钱海平, 黄力. 双切口双锁定重建钢板治疗肩胛骨体部复杂骨折的疗效观察[J]. 海军医学杂志, 2019, 40(4): 330-332.
[3] 胡远军, 成瑞萍, 史会明, 王飞, 任广铁, 张志忠. 单侧与双侧钢板内固定治疗肩胛骨体部骨折的疗效比较[J]. 中国骨与关节损伤杂志, 2019, 34(7): 736-738.
[4] 何武兵, 黄勇明, 许志贤, 张旭鸣, 许玮, 蔡鸿儒. 改良Judet入路微创手术治疗不稳定肩胛骨骨折[J]. 中国骨与关节损伤杂志, 2017, 32(7): 698-701.
[5] Salimi, J., Khaji, A., Karbakhsh, M., et al. (2008) Scapular Fracture: Lower Severity and Mortality. Sao Paulo Medical Journal, 126, 186-189. [Google Scholar] [CrossRef
[6] Stephens, N.G., Morgan, A.S., Corvo, P., et al. (1995) Significance of Scapular Fracture in the Blunt-Trauma Patient. Annals of Emer-gency Medicine, 26, 439-442. [Google Scholar] [CrossRef
[7] Burkhardt, M., Gansslen, A., Uder, M., et al. (2003) New Possibilities in Fracture Visualization by Means of CT: Reconstructions, 3D Plan-nings-Difficult Joint Fracture-Modern Management-Improved Visualization and Operative Planning in Joint Fractures. Zentralblatt fur Chirurgie, 128, 34-39.
[8] Harvey, E., Audige, L., Herscovici, D., et al. (2012) Development and Validation of the New International Classification for Scapula Fractures. Journal of Orthopaedic Trauma, 26, 364-369. [Google Scholar] [CrossRef
[9] Iderberg, R., Grevsten, S. and Larsson, S. (1995) Epidemi-ology of Scapular Fractures, Classification of 338 Fractures. Acta Orthopaedica Scandinavica, 66, 395-397. [Google Scholar] [CrossRef] [PubMed]
[10] Bartonicek, J. and Fric, V. (2011) Scapular Body Fractures: Results of Operative Treatment. International Orthopaedics, 35, 747-753. [Google Scholar] [CrossRef] [PubMed]
[11] Harmer, L.S., Phelps, K.D., Crickard, C.V., et al. (2016) A Comparison of Exposure between the Classic and Modified Judet Approaches to the Scapula. Journal of Orthopaedic Trauma, 30, 235-239. [Google Scholar] [CrossRef
[12] Cole, P.A., Talbot, M., Schroder, L.K., et al. (2011) Ex-tra-Articular Malunions of the Scapula: A Comparison of Functional Outcome before and after Reconstruction. Journal of Orthopaedic Trauma, 25, 649-656. [Google Scholar] [CrossRef
[13] Cole, P.A., Gauger, E.M. and Schroder, L.K. (2012) Man-agement of Scapular Fractures. Journal of the American Academy of Orthopaedic Surgeons, 20, 130-141. [Google Scholar] [CrossRef
[14] Ao, R., Yu, B., Zhu, Y., et al. (2018) Single Lateral versus Medial and Lateral Plates for Treating Displaced Scapular Body Fractures: A Retrospective Comparative Study. Journal of Shoulder and Elbow Surgery, 27, 231-236. [Google Scholar] [CrossRef] [PubMed]
[15] 李仁斌, 林焱斌, 熊圣仁, 庄研, 熊国胜, 张怡元. 后侧微创入路结合三角固定原则治疗肩胛体及肩胛颈骨折[J]. 中华肩肘外科电子杂志, 2017, 5(1): 29-35.
[16] Zahid, M., Rashid, E.H., Inam, H., et al. (2016) Outcomes of Open Reduction and Internal Fixation in Displaced Intra-Articular Scapular Fractures: A Case Series. Acta Orthopaedica Belgica, 83, 16-21.