Department of Orthopedics, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.
Department of Orthopedics, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.
J Shoulder Elbow Surg. 2018 Feb;27(2):231-236. doi: 10.1016/j.jse.2017.07.028. Epub 2017 Sep 28.
This study compared the outcomes and complications of single lateral plating vs. dual plating for treating displaced scapular body fractures.
Open reduction and internal fixation using locking plates was performed in 45 patients with displaced scapular fractures. A single lateral plate fixed in the lateral border was used in 22 patients (group A), and dual plates fixed in both the lateral and medial borders were used in 23 (group B).
The average follow-up duration in both groups was 20 months. A remarkable difference was seen between the 2 groups in mean operative time and blood loss, although the Disabilities of the Arm, Shoulder and Hand and Constant Shoulder scores at the final follow-up were similar. The prominence rate of the hardware was 27.3% (6 of 22) in group A and 65.2% (15 of 23) in group B. The plate removal rate was 31.8% (7 of 22) in group A and 78.3% (18 of 23) in group B.
Open reduction using a single plate on the lateral border for treating displaced scapular body fractures can lead to good functional outcomes, shorter operative time, less blood loss, and fewer plate-related complications compared with the dual-plating technique.
本研究比较了单外侧钢板与双钢板治疗移位肩胛体骨折的疗效和并发症。
对 45 例移位肩胛骨折患者行切开复位锁定钢板内固定。22 例患者采用单外侧钢板固定于外侧缘（A 组），23 例患者采用双钢板固定于外侧和内侧缘（B 组）。
两组患者的平均随访时间均为 20 个月。虽然两组患者在最终随访时的上肢功能评分（DASH）和 Constant 肩关节评分相似，但手术时间和失血量的差异有统计学意义。A 组的内固定物突出率为 27.3%（6/22），B 组为 65.2%（15/23）。A 组的内固定物取出率为 31.8%（7/22），B 组为 78.3%（18/23）。
与双钢板技术相比，外侧单钢板治疗移位肩胛体骨折可获得良好的功能结果，手术时间更短，失血量更少，钢板相关并发症更少。
