Schandelmaier P, Blauth M, Schneider C, Krettek C
Department of Trauma, Leopold-Franzens Universität, Innsbruck, Austria.
J Bone Joint Surg Br. 2002 Mar;84(2):173-7. doi: 10.1302/0301-620x.84b2.12357.
We describe the results after open reduction and internal fixation of 22 consecutive displaced fractures of the glenoid with a mean follow-up of ten years. A posterior approach was used in 16 patients and an anterior in six, the approach being chosen according to the Ideberg classification of the fractures. The fixation failed in two patients, one of whom required a further operation. There were two cases of deep infection. At follow-up the median Constant score was 94% (mean 79%, range 17 to 100). The score was less than 50% in four patients, including the two who became infected. A further two had an associated complete palsy of the brachial plexus.
我们描述了22例连续的关节盂移位骨折切开复位内固定术后的结果,平均随访时间为10年。16例患者采用后入路,6例采用前入路,入路根据Ideberg骨折分类选择。2例患者内固定失败,其中1例需要再次手术。有2例深部感染。随访时,Constant评分中位数为94%(平均79%,范围17%至100%)。4例患者评分低于50%,包括2例感染患者。另有2例伴有臂丛神经完全麻痹。