肩胛骨骨折的手术治疗

目的：探讨肩胛骨骨折切开复位内固定的适应症及疗效。方法：回顾性分析自2000年1月-2004年6月手术治疗肩胛骨骨折12例临床资料，通过前方入路，后方入路分别对不同类型的肩胛骨骨折使用重建钢板、拉力螺钉及可吸收螺钉内固定。结果：12例患者全部得到随访，随访时间12—30月，平均22月。疗效：优7例；良好3例；可2例。结论：（1）三维CT有助于诊断及选择适宜治疗方法。（2）肩胛骨骨折切开复位内固定可获得较好的肩关节功能。

Operative treatment of scapular fractures

Objective: To explore the indications of operation and curative effects of open reduction and internal fixation for scapular fracture. Methods: 12 cases with scapular fractures received operation that had been admitted to our hospital from January 2000 to June 2004 were retrospectively analyzed .On the basis of the fracture patterns, anterior and posterior approach were performed with plates for reconstruction ,lag screws or absorbable screw. Results: All patients were followed up with an average of 22 months ,the results were excellent in 7 cases ,good in 3 cases and fair in 2 cases . Conclusion: (1)Three-dimensioned CT is effective method in diagnosing scapular fracture, it may provide exact guidance to preoperative plan.(2)Open reduction and internal fixation is suitable for the treatment of scapular fractures, it provides satisfactory outcome.