Marek Daniel J, Sechriest V Franklin, Swiontkowski Marc F, Cole Peter A
Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Clin Orthop Relat Res. 2009 May;467(5):1370-6. doi: 10.1007/s11999-008-0651-3. Epub 2008 Dec 12.
We present the first reported treatment failure of a reconstructed scapula body that proceeded to nonunion. This is a unique case report of an otherwise healthy patient who underwent open reduction and internal fixation of a scapula fracture nonunion, which is very rare. Failure of internal fixation in this application has not been reported, and, to our knowledge, this is only the fifth case report of a scapula body nonunion that was reconstructed. Of 159 reported cases of open reduction and internal fixation for treatment of scapula neck and body fractures (with or without intraarticular glenoid fractures), there is not one reported case of a nonunion. Our case is described in detail, including the method of surgical reconstruction, and a review of the literature regarding surgical treatment of scapula nonunions after nonoperative treatment also is presented.
我们报告了首例重建肩胛体治疗失败并导致骨不连的病例。这是一例独特的病例报告，患者身体健康，接受了肩胛骨骨折不愈合的切开复位内固定术，这种情况非常罕见。该应用中内固定失败的情况此前未见报道，据我们所知，这仅是第五例重建肩胛体骨不连的病例报告。在159例报道的用于治疗肩胛颈和肩胛体骨折（无论有无关节内盂骨折）的切开复位内固定病例中，无一例出现骨不连。我们详细描述了该病例，包括手术重建方法，同时还对非手术治疗后肩胛骨骨不连的手术治疗相关文献进行了综述。
