CAJ | 학술논문

目的：探讨改良Judet术式在肩胛骨骨折治疗中的疗效。方法应用Judet术式切口，分离冈下肌及小圆肌间隙显示深层解剖结构，并应用改良入路行肩胛骨骨折患者实施切开复位内固定术后。结果随访术后患者共47例，平均时间23个月，采用ASES评分标准评定肩关节功能，优31例，良8例，优良率83.0%。结论改良Judet术式操作简易、术野暴露充分、并发症减少、肩袖结构保留完整、肩关节功能恢复快。
목적：탐토개량Judet술식재견갑골골절치료중적료효。방법응용Judet술식절구，분리강하기급소원기간극현시심층해부결구，병응용개량입로행견갑골골절환자실시절개복위내고정술후。결과수방술후환자공47례，평균시간23개월，채용ASES평분표준평정견관절공능，우31례，량8례，우량솔83.0%。결론개량Judet술식조작간역、술야폭로충분、병발증감소、견수결구보류완정、견관절공능회복쾌。
Objective To investigate effect about surgical treatment of scapular fracture by modified Judet’s method. Method By classical Judet’s operative incision,exposing deed anatomy structure between infraspinous and tere minor muscle,and retropositing and interal fixating.Rsults 47 cases were fol owed up for average 23 months,ASES standard was used to estimate the function of the involved shoulder joint ,The result were excellent in 31 cases,good in 8 cases.Conclusions modified Judet’s method is a simplied surgical operative mothed,visal field is enough exposed,concurrent disease is decreased,rotator cuff structure is integratedly protected,shouider joint fuction is swiftly recoveried.