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岭南现代临床外科 ›› 2022, Vol. 22 ›› Issue (04): 395-397.DOI: 10.3969/j.issn.1009-976X.2022.04.015

• 论著与临床研究 • 上一篇    下一篇

微型锁定钛板治疗不稳定性肩胛骨骨折

何钢1, 黄志彪2, 郑翔1, 张玮琼1, 陈谦2, 陈燕涛2,*   

  1. 1. 广州医科大学附属第四医院骨科,广州 511300;
    2. 中山大学孙逸仙纪念医院骨外科,广州 510120
  • 通讯作者: *陈燕涛,Email:chenyant@mail.sysu.edu.cn

Treatment of unstable scapula fracture with miniature locking titanium plate

HE Gang1, WONG Chi-piu2, ZHENG Xiang1, ZHANG Wei-qiong1, CHEN Qian2, CHEN Yan-tao2   

  1. 1. Department of Orthopaedics, The Fourth Affiliated Hospital of Guangzhou Medical University, Guangzhou 511300, China;
    2. Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China
  • Received:2022-03-18 Online:2022-08-20 Published:2022-09-22
  • Contact: CHEN Yan-tao, chenyant@mail.sysu.edu.cn

摘要: 目的 探讨微型锁定钛板治疗不稳定性肩胛骨骨折的疗效。方法 选取2018年1月~2020年12月使用微型锁定钛板治疗不稳定性肩胛骨骨折患者21例,分别取Judet入路、肩胛骨外侧缘加辅助入路,骨折复位后使用微型锁定钛板进行固定。结果 21例患者全部完成随访,时间为3~20个月,平均9个月,术后复查X线片结果示复位满意。根据Hardegger功能评定标准,其中优18例,良2例,可1例,优良率达95.2%。结论 对于不稳定性肩胛骨骨折,根据骨折部位选择相应的入路使用微型锁定钛板内固定,辅以早期功能锻炼,疗效良好。

关键词: 肩胛骨折, 肩胛骨, 骨折内固定术

Abstract: Objective To investigate the effect of miniature locking titanium plate in the treatment of unstable scapula fracture. Methods From January 2018 to December 2020, 21 patients with unstable scapular fractures were treated with miniature locking titanium plates. Judet approach, auxiliary approach to the lateral border approaches were adopted at the scapula respectively. After fracture reduction, miniature locking titanium plates were used for fixation. Results X-ray examination results showed satisfactory postoperative reduction. According to Hardegger's evaluation criterion,18 cases showed excellent results,2 good and 1 fair with an excellent-to-good rate of 95.2%. Conclusion For the unstable scapula fracture, the corresponding approach was selected according to the fracture site and the miniature locking titanium plate was used for internal fixation, supplemented by early functional exercise, and the effect was satisfactory.

Key words: shoulder fractures, scapula, fracture internal fixation

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