| 肩胛骨骨折的手术治疗 |
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Received:August 20, 2003
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| 期刊信息：《中国骨伤》2004年17卷，第6期，第349-350页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨手术治疗各型肩胛骨骨折的可行性及适应证,评价手术治疗的临床疗效。
方法:对手术治疗并获随访的25例肩胛骨骨折进行回顾性分析。术前常规行肩胛骨的正位、侧位及前30°斜位的X线摄片,用Jesser法将骨折进行分型,手术采用Judet入路进行骨折内固定。
结果:术后随访8个月至3年5个月,平均20个月,按Dolfi等评分系统进行功能评定,优(13～16分)10例,良(9～12分)11例,可(5～8分)3例,差(小于4分)1例,优良率为84%。
结论:手术治疗肩胛骨骨折已成为安全、可靠的治疗手段,累及关节面并有移位的肩盂骨折、有移位的肩胛骨颈部骨折以及肩胛冈粉碎性骨折是手术治疗的绝对适应征。对预期功能要求比较高的病人,可适当放宽手术指证。 |
| [关键词]:肩胛骨 骨折 骨科手术方法 骨折固定术,内 |
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| Operative treatment of scapular fractures |
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Abstract:
Objective:To explore the possibility and the therapeutic effects of scapular fractures with open reduction and internal fixation.
Methods:25 cases of scapular fractures admitted from January 1998 to June 2002 were reviewed retrospectively.Roentgenograms included an anteroposterior view,a 30 degree anterooblique view,and a lateral view were taken before operation.The fractures were classified according to the Jesser’s standard.The operations were performed through a Judet approach.
Results:All of the cases were followed up for a period of 8 to 41 months(20 months in average).According to the Dolfi’s grading system,the surgical effects were excellent in 10 cases(13～16 points),good in 11(9～12 points),fair in 3(5～8 points)and poor in 1(<4 points).The satisfactory rate was 84%.
Conclusion:Along with the development of surgical techniques,the implants have made the operation of scapular fractures more safety and more reliable.Indication of operation is the treatment of patients with displaced fractures of scapular neck,intra articular glenoid and comminuted scapular spine fractures.The patients who demand more satisfactory functional results are also indicated for operation.Excellent surgical skill,rigid internal fixation and early shoulder exercise is the key to improve treatment results. |
| KEYWORDS:Scapula Fractures Orthopaedics operative methods Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 叶林根,黄海华,蒋国华,俞光荣.肩胛骨骨折的手术治疗[J].中国骨伤,2004,17(6):349~350 |
| 英文格式: | YE Lin gen,HUANG Hai hua,JIANG Guo hua,YU Guang rong.Operative treatment of scapular fractures[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(6):349~350 |
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