Zhou Dong-sheng, Li Lian-xin, Wang Lu-bo, Wang Bo-min, Xu Shi-hong, Mu Wei-dong
Department of Orthopedic Trauma, Shandong Provincial Hospital, Jinan 250021, China.
Zhonghua Wai Ke Za Zhi. 2006 Dec 15;44(24):1686-8.
To investigate the effect of operative treatment of scapular fractures through modified Judet approach.
From January 1997 to October 2005, 21 patients (15 females, 6 males; mean age 34 years) of scapular fractures were treated by open reduction and internal fixation through the modified Judet approach. According to Hardegger classification system, there were 11 patients of scapular body fractures, 10 patients of scapular neck fractures, 8 patients of glenoid rim fractures, 7 patients of glenoid fossa fractures, 9 patients of scapular spine fractures, and 6 patients of scapular acromion fractures.
Eighteen patients were followed up with an average of 21 months (range 6 months-4 years). According to Rowe scores system, 12 patients showed excellent, 3 showed good, 2 showed fair, and 1 showed poor.
The modified Judet approaches have the advantages of wide exploration, safety, and easy fixation. It is a good choice to the operation for most types of scapular fractures through the modified Judet approach.
探讨改良Judet入路手术治疗肩胛骨骨折的疗效。
1997年1月至2005年10月，采用改良Judet入路切开复位内固定治疗21例肩胛骨骨折患者（女性15例，男性6例；平均年龄34岁）。根据Hardegger分类系统，其中肩胛骨体部骨折11例，肩胛颈骨折10例，肩胛盂缘骨折8例，肩胛盂窝骨折7例，肩胛冈骨折9例，肩峰骨折6例。
18例患者获得随访，平均随访21个月（6个月至4年）。根据Rowe评分系统，优12例，良3例，可2例，差1例。
改良Judet入路具有显露范围广、安全、固定方便等优点，是多数类型肩胛骨骨折手术治疗的较好选择。
