预弯双钢板治疗肩胛颈骨折的影像学研究与临床应用

为预管双钢板在肩胛颈骨折的应用提供影像学数据,介绍手术方法和适应证。方法用ＣＴ扫描和Ｘ线平片测量的方法,对３０例成人肩胛骨的颈部、肩钾冈的基底部和胛骨外侧缘等进行三维观测。结果肩胛颈、肩胛冈的基底部和肩胛骨外侧缘可以接受钢板螺钉内固定。

Image study and clinical application of the treatment of scapular neck fracture by two bending steel plates fixation

Objective To provide an image data for the usage of two bending steel plates fixation in the treatment of scapular neck fracture and to describe surgical methods and indications. Methods The neck and lateral margin of scapula and inferior surface of spina scapulae were determined three-dimensionally in 30 adults through CT scan and X-ray plain film. Results The neck and lateral margin of scapula and inferior surface margin of the spina scapulae were thick enough to accept plates fixation. Eleven cases were operated on to fix displaced fracture of the scapular neck with bending steel plates. There were no complications such as suprascapular nerve injury, suprascapular artery injury and so on. Eleven cases were followed up for an average of 19 months. The healing rate of ideal function of lateral shoulder joints was 81.8% (9/11). Conclusions The method of two bending steel plates fixation has advantages of firm fixation, less complications, early exercise and rehabilitation for patients.