摘要
目的针对治疗肩胛骨骨折常用的经典Judet入路对冈下肌破坏大的缺点进行改良。方法自2000年1月～2006年6月,对经典的Judet入路进行改良,用经典Judet入路的皮肤切口,用Hardegger入路通过分离冈下肌与小圆肌间隙的方法来显露深层结构,并应用改良入路对35例肩胛骨骨折采用改良入路施行切开复位内固定术。结果31例获随访,时间8～26个月,平均时间15.8个月。骨折均在8～12周愈合,平均8.6周。疗效根据Hardegger等功能评定标准:优20例,良7例,可3例,差1例,优良率87.1%。结论与经典Judet入路相比,改良入路不仅有经典入路的各种优点,而且最大限度的保留了肩袖肌肉的完整性,手术创伤明显减少。
Objective To modify classic Judet approach commonly used in scapular fractures due to its shortcoming of destroying in- fraspinatus greatly. Methods From January 2000 to June 2006, the classic Judet approach was modified using the skin incision of classic Judet approach, and the method of exposing the deep structure by splitting the infraspinatus and teres minor interval in Hardegger approach. The open reduction and internal fixation were performed on 35 patients with scapular fractures using modified approach. Results Thirty-one patients were followed up for 8 months to 26 months, 15.8 months on average. All the fractures with open reduction healed after 8 to 12 weeks, 8.6 weeks on average. According to Hardegger function evaluation criterion, the excellent result was achieved in 20 patients, good in 7, fair in 3 and poor in 1. Function recovery rate was 87.1%. Conclusion Compared with the classic Judet approach, the modified approach not only has all the advantages of classic approach, but also reserves the integrity of rotation cuff to its limit with the operation trauma decreased obviously.
出处
《中国骨与关节损伤杂志》
2008年第5期359-361,共3页
Chinese Journal of Bone and Joint Injury
关键词
肩胛骨
骨折
入路
手术
Scapula
Fractures
Approach
Operation
