预弯双钢板治疗肩胛颈骨折的影像学研究与临床应用  

Image study and clinical application of the treatment of scapular neck fracture by two bending steel plates fixation

作　　者：郝毅 杨文勋[2] 赵大正[1] 

机构地区：[1]浙江医院骨科,杭州310013 [2]新疆钢铁集团公司医院骨科

出　　处：《中华创伤杂志》2000年第3期173-175,共3页Chinese Journal of Trauma

摘　　要：目的　为预弯双钢板在肩胛颈骨折的应用提供影像学数据 ,介绍手术方法和适应证。　方法　用CT扫描和X线平片测量的方法 ,对 30例成人肩胛骨的颈部、肩胛冈的基底部和肩胛骨外侧缘等进行三维观测。　结果　肩胛颈、肩胛冈的基底部和肩胛骨外侧缘可以接受钢板螺钉内固定。应用预弯双钢板治疗移位的肩胛颈骨折 11例 ,无肩胛上神经及肩胛上动脉损伤等并发症。 11例获随访 ,平均随访 19个月 ,患侧肩关节功能优良率为 81.8% (9/ 11)。　结论　本方法固定坚强 ,并发症少 ,利于病人早期锻炼和康复。Objective To provide an image data for the usage of two bending steel plates fixation in the treatment of scapular neck fracture and to describe surgical methods and indications. Methods The neck and lateral margin of scapula and inferior surface of spina scapulae were determined three-dimensionally in 30 adults through CT scan and X-ray plain film. Results The neck and lateral margin of scapula and inferior surface margin of the spina scapulae were thick enough to accept plates fixation. Eleven cases were operated on to fix displaced fracture of the scapular neck with bending steel plates. There were no complications such as suprascapular nerve injury, suprascapular artery injury and so on. Eleven cases were followed up for an average of 19 months. The healing rate of ideal function of lateral shoulder joints was 81.8% (9/11). Conclusions The method of two bending steel plates fixation has advantages of firm fixation, less complications, early exercise and rehabilitation for patients.

关 键 词：肩胛颈骨折 预弯双钢板 骨折固定术 影像学研究 

分 类 号：R683.41[医药卫生—骨科学]