CAJ | 학술논문

目的探讨外侧柱单钢板治疗肩胛骨体部骨折的初步疗效. 方法回顾性分析2012年5月至2013年8月采用外侧柱单钢板治疗明显移位的15例肩胛骨体部骨折患者资料,男12例,女3例;年龄22 ～ 50岁,平均38.5岁.记录患者返回正常工作或活动的时间、并发症发生情况以及末次随访时肩关节Constant评分和臂肩手功能障碍评分(DASH). 结果所有患者术后获8～14个月(平均11.5个月)随访.骨折临床愈合时间为6～12周,平均7.5周.所有患者未出现伤口感染、血肿、肩胛上神经损伤、内固定物松动或断裂、肩关节持续性疼痛等并发症.所有患者术后返回正常工作或活动的时间为2.5～4.0个月(平均3.5个月).末次随访时肩关节Constant评分平均为79.5 ～ 95.0分(平均90.0分),其中优14,良1例;DASH评分为1.5～11.0分(平均6.5分). 结论外侧柱单钢板固定治疗肩胛骨体部骨折可以获得满意复位、相对稳定固定及良好的近期疗效.
목적 탐토외측주단강판치료견갑골체부골절적초보료효. 방법 회고성분석2012년5월지2013년8월채용외측주단강판치료명현이위적15례견갑골체부골절환자자료,남12례,녀3례;년령22 ～ 50세,평균38.5세.기록환자반회정상공작혹활동적시간、병발증발생정황이급말차수방시견관절Constant평분화비견수공능장애평분(DASH). 결과 소유환자술후획8～14개월(평균11.5개월)수방.골절림상유합시간위6～12주,평균7.5주.소유환자미출현상구감염、혈종、견갑상신경손상、내고정물송동혹단렬、견관절지속성동통등병발증.소유환자술후반회정상공작혹활동적시간위2.5～4.0개월(평균3.5개월).말차수방시견관절Constant평분평균위79.5 ～ 95.0분(평균90.0분),기중우14,량1례;DASH평분위1.5～11.0분(평균6.5분). 결론 외측주단강판고정치료견갑골체부골절가이획득만의복위、상대은정고정급량호적근기료효.
Objective To report the preliminary outcomes of scapula body fractures treated by single plating at the lateral border.Methods In the period from May 2012 to August 2013,15 fractures of displaced scapula body were treated at our department by open reduction and internal fixation with single plating at the lateral border.They were 12 men and 3 women,aged from 22 to 50 years (mean,38.5 years).The therapeutic outcomes were assessed in terms of the time to normal work and activity,complications and shoulder functions by the Constant score and Disabilities of the Arm,Shoulder and Hand (DASH) score at the last follow-up.Results All the patients were followed up from 8 to 14 months (average,11.5 months).All fractures healed after 6 to 12 weeks (average,7.5 weeks).No such complications were observed as infection,hematoma,suprascapular nerve injury,implant failure or persistent shoulder pain.All patients returned to normal work or activity after a mean time of 3.5 months (from 2.5 to 4.0 months).At the last follow-up,14 cases were excellent and one was good; the average Constant score was 90.0 points (from 79.5 to 95.0 points); the average DASH score was 6.5 points (from 1.5 to 11.0 points).Conclusion Open reduction and single plating via the lateral border approach for fractures of displaced scapula body can lead to satisfactory reduction,relatively stable internal fixation and good short-term outcomes.