腋后路内固定治疗IdebergⅠa及Ⅱ型肩胛盂骨折的疗效分析  

Clinical analysis of posterior axillary approach internal fixation for IdebergⅠa andⅡglenoid fractures

作　　者：焦福德 庄云强[1] 张经纬[1] 王庆[1] 安林[1] 朱李梅[1] 陈剑明[1] 何贤锋 吴丹凯[2] JIAO Fu-de;ZHUANG Yun-qiang;ZHANG Jing-wei;WANG Qing;AN Lin;ZHU Li-mei;CHEN Jian-ming;HE Xian-feng;WU Dan-kai;无(The Traumatic Othopaedics,Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China;Department of Orthopaedics,the Second Hospital of Jilin University,Changchun 130041,Jilin,China)

机构地区：[1]宁波市第六医院创伤骨科,浙江宁波315040 [2]吉林大学第二医院,吉林长春130041

出　　处：《中国骨伤》2023年第10期1005-1010,共6页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨腋后路治疗IdebergⅠa及Ⅱ型肩胛盂骨折的疗效。方法:回顾性分析2018年12月至2021年9月采用腋后路治疗的9例肩胛盂下部分骨折患者的资料,男3例,女6例;年龄50~78岁。所有患者骨折为闭合性骨折,依据肩胛盂骨折Ideberg分型:Ⅰa型6例,Ⅱ型3例。分别于术后第6、12周及6、12个月摄肩关节正、侧位X线片,记录所有患者末次随访时的Constant-Murley肩关节评分,上肢功能障碍(disability of the arm,shoulder and hand,DASH)评分,骨折愈合情况以及其他并发症情况。结果:术后9例患者获得随访,时间6~15个月。末次随访时9例均获得骨性愈合,愈合时间3~6个月,末次随访时患者的Constant-Murley评分为55~96分;DASH评分为3.33~33.33分。结论:腋后路内固定治疗IdebergⅠa、Ⅱ型肩胛盂骨折有效解决了前方入路显露肩胛盂下部分骨折困难的问题,可避免肩胛下肌以及关节囊医源性损伤,临床效果满意,值得临床推广使用。Objective To investigate the efficacy of posterior axillary approach internal fixation for IdebergⅠa andⅡglenoid fractures.Methods From December 2018 to September 2021,9 patients with lower part of glenoid fractures were treated by posterior axillary approach,including 3 males and 6 females,aged from 50 to 78 years old.All the fractures were closed fractures.According to Ideberg type of scapular glenoid fracture was typeⅠa in 6 cases and typeⅡin 3 cases.AP and lateral X-ray films of scapula were taken at 6,12 weeks and 6 and 12 months postoperatively.Constant-Murley and disabilities of the arm shoulder and hand(DASH),and other complications were recorded at the latest follow-up.Results Nine patients were followed up,ranged from 6 to 15 months.And bone healing was achieved in all 9 patients at the final follow-up,the healing time 3 to 6 months,Constant-Murley score at the final follow-up ranged from 55 to 96,and DASH score ranged from 3.33 to 33.33.Both of them were better than preoperative.Conclusion The posterior axillary approach internal fixation for IdebergⅠa and IdebergⅡGlenoid fractures scapular fracture is satisfactory and worthy of clinical application.

关 键 词：肩胛骨 骨折内固定术 肩胛盂骨折 

分 类 号：R683.41[医药卫生—骨科学]