双切口入路治疗肩胛骨体部爆裂骨折

目的:探讨双切口入路治疗肩胛骨体部爆裂骨折的临床效果。方法:2011年8月²013年6月收治肩胛骨体部爆裂骨折共12例,男9例,女3例;年龄352013年6月收治肩胛骨体部爆裂骨折共12例,男9例,女3例;年龄35⁵2岁,平均(42±1.3)岁。全部患者均采用双切口入路复位重建锁定板内固定术。结果:术中出血10052岁,平均(42±1.3)岁。全部患者均采用双切口入路复位重建锁定板内固定术。结果:术中出血100²10 ml,手术时间55210 ml,手术时间55⁹0 min。术后随访990 min。术后随访9¹4个月,12例患者随访功能满意。结论:双切口入路治疗肩胛骨体部爆裂骨折可以获得较为满意的复位固定;配合术后康复功能锻炼,临床疗效满意。

Double-incision approach to treatment of the scapular body bursting fractures with locking plate fixation

Objective：To investigate the clinical effects of double-incision approach to treatment of the bursting fractures of scapula body with locking plate fixation.Methods：Twelve patients with scapular body bursting fractures were admitted to our hospital between June 2004 and August 2011,among whom 9 were male and 3,female.The age ranged from 35 to 52 years,with a mean（42 ±1.3） years.The total patients underwent double-incision approach to treat-ment of the bursting fractures of scapula body with internal fixation using locking plate .Results：The operation lasted for 55 to 90 minutes,and the intraop-erative blood loss was from 100 to 210 ml.All patients were followed up for 9 to 14 months,and the results were satisfactory.Conclusion：Double-incision approach may lead to better reconstructed fixation for the bursting fractures of the scapula body ,and the results will be excellent if postoperative functional exercise rehabilitation is added.