肩胛骨结构特点与骨折不同内固定手术疗效的分析
Anatomy of scapula and internal fixations in scapular fractures: analysis of curative effects
目的 探讨肩胛骨骨折采用不同内固定手术治疗的临床效果。 方法 对我们2007年7月至2012年1月手术治疗的36例肩胛骨骨折患者进行总结分析，选择普通钢板的19例，选择锁定钢板的15例，选择拉力螺钉固定的2例。 结果 36例患者均获得随访，平均(17.5±6.5)个月，骨折全部愈合。根据Hardegger 等功能评定标准，本组优24例，良7例，可4例，差1例，功能恢复优良率达86.1%。 结论 肩胛骨骨折诊断明确后根据骨折的分型、解剖学特点，选择合适的内固定达到有效的固定后，进行早期的功能锻炼，肩关节远期的功能恢复一般达优良。
Objective To explore surgical effects of different internal fixation on treating scapular fractures. Methods From July 2007 to January 2012，36 cases of scapular fractures treated with surgical fixation were summarized and analyzed. For all patients, 19 treated with ordinary steel, 15 with locking plate, and 2 with lag screw fixation. Results All patients were followed up, averagely (17.5±6.5) months. Nonunion was not happened. According to the Hardegger's evaluation, 24 cases were excellent, 7 good，4 better, and only 1 poor. The rate of excellent functional recovery was about 86.1%. Conclusions Accurate diagnosis of fracture type, detailed understand of anatomical features of scapula, optimal internal fixation, and early functional exercises, are key elements of functional recovery of scapular joint after surgical process.
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