CAJ | 학술논문

目的探讨手术方法治疗粉碎性肩胛骨骨折的临床疗效。方法回顾性分析2013年6月~2014年6月，本组用不同手术方法治疗的21例粉碎性性肩胛骨骨折的病例，其中骨折涉及肩胛孟、颈，冈上和冈下肩胛体者12例，涉及肩胛颈、盂和体部者9例，手术后随访肩关节功能恢复情况。结果21例中20例获得随访，失访时间为术后4w，时间为6~12个月，平均时间为8.5个月；骨折平均愈合时间为7~10w，平均为8.2w。获得随访20例患者均复位和内固定满意，肩关节功能预后按Rowe等疗效评价标准院优13例，良4例，可2例，差1例，优良率85%。结论手术是治疗肩胛骨粉碎性骨折的有效方法，有助于肩关节功能的恢复。
목적탐토수술방법치료분쇄성견갑골골절적림상료효。방법회고성분석2013년6월~2014년6월，본조용불동수술방법치료적21례분쇄성성견갑골골절적병례，기중골절섭급견갑맹、경，강상화강하견갑체자12례，섭급견갑경、우화체부자9례，수술후수방견관절공능회복정황。결과21례중20례획득수방，실방시간위술후4w，시간위6~12개월，평균시간위8.5개월；골절평균유합시간위7~10w，평균위8.2w。획득수방20례환자균복위화내고정만의，견관절공능예후안Rowe등료효평개표준원우13례，량4례，가2례，차1례，우량솔85%。결론수술시치료견갑골분쇄성골절적유효방법，유조우견관절공능적회복。
Objective To explore the clinical curative ef ect of surgical method for the treatment of comminuted fracture. Methods Were retrospectively analyzed in June 2013 to June 2014,the group treated with dif erent surgical methods of 21 cases of comminuted scapula fracture,the fracture involves the shoulder,neck,meng mountain and on the shoulder blade body,with 12 cases, involving scapular neck,dishes and a body of 9 cases,fol ow-up of shoulder joint function recovery after surgery. Results Fol ow-up of 21 cases,20 cases,lost to time is 4 weeks after surgery,time is 6 ~12 months,the average time of 8.5 months;Fractures of the average healing time was 7 to 10 weeks,with an average of 8.2 weeks.Fol ow-up for reduction and internal fixation in al 20 cases, shoulder joint function prognosis by Rowe,curative ef ect evaluation standard:13 cases,4 cases were good,can be in 2 cases,1 case,was 85%. Conclusion Surgery is an ef ective method for treatment of comminuted fracture at the Withers,helps to recover the shoulder function.