摘要
目的探讨经后入路内固定治疗肩胛骨骨折的疗效。方法回顾性分析2007年12月至2009年12月收治的经手术治疗的17例肩胛骨骨折的临床资料。根据Miller的分型方法,ⅠA型1例,ⅡA型2例,ⅡB型1例,Ⅲ型10例,Ⅳ型3例。采用后入路对肩胛骨骨折使用重建钢板、拉力螺钉等进行治疗。结果 17例患者全部获得随访,随访时间12~30个月,平均18个月。根据Hardegger的疗效评价标准,优13例,良2例,可2例,优良率为88.24%。结论采用后入路重建钢板及拉力螺钉治疗肩胛骨骨折效果确切,利于早期进行康复功能锻炼,疗效满意。
Objective To study the clinical effect of posterior approach in treatment of patients with scapular fractures.Methods Seventeen cases of scapular fractures were treated in this hospital during December 2007 to December 2009.According to the fracture classification of Miller,there were type ⅠA in 1 case,type ⅡA in 2,type ⅡB in 1,type Ⅲ in 10 and type IV in 3.On the basis of this fracture classification,posterior approach was performed with reconstruction plates or lag screws.Results All these cases were followed up for an average of 18（ranging from 12 to 30） months.According to the classification criteria of Hardegger,excellent result had been obtained in 13 cases,fine in 2 and fair in 2,and the excellent and fine rate was 88.24%.Conclusion The application of reconstruction plates or lag screws by posterior approach has an exact effect in treatment of scapular fractures,and it can contribute to anatomic reduction of scapular fractures,fixation and early rehabilitation,and it may provide satisfactory outcomes.
出处
《临床和实验医学杂志》
2011年第9期676-677,679,共3页
Journal of Clinical and Experimental Medicine
关键词
肩胛骨骨折
后入路
内固定
Scapular fracture
Posterior approach
Internal fixation
