Department of Orthopaedic Surgery, Show Chwan Memorial Hospital, 524 Sec. 1 Chung-Shan Rd., Changhua, 500, Taiwan.
Department of Life Sciences, National Chung Hsing University, Taichung, Taiwan.
BMC Musculoskelet Disord. 2022 Jan 31;23(1):105. doi: 10.1186/s12891-021-04991-2.
We report our preliminary results using a single approach, the mirror Judet approach, for patients with both ipsilateral scapula and multiple rib fractures.
Five consecutive patients [median age: 56 years (range: 44 ~ 60)] with ipsilateral scapula and multiple rib fractures that met the surgical indications were retrospectively reviewed. A single approach, the mirror Judet approach, was used for surgical stabilization of the scapula and targeted rib fractures. Thoracoscopic surgery was performed first for management of associated lung lesions and marking the targeted rib. All patients received the same rehabilitation protocol and a minimum 12-month follow-up.
All surgically-fixed fractures eventually united without malunion. No complaints of intercostal neuralgia, infection, or other complications were seen. The mean range of motion in the injured shoulder returned to at least 90% of the contralateral side range. The mean Disabilities of the Arm, Shoulder, and Hand score at the 12th month was 2.0 (range: 0-7). All patients were able to return to their previous work.
The mirror Judet approach allows for the surgical stabilization of the ipsilateral scapula and multiple rib fractures using the same approach and provides acceptable functional outcomes in well-selected patients.
Level IV.
我们报告了使用单一入路（镜像 Judet 入路）治疗同侧肩胛骨和多发性肋骨骨折患者的初步结果。
回顾性分析了 5 例连续同侧肩胛骨和多发性肋骨骨折符合手术指征的患者。采用单一入路（镜像 Judet 入路）对肩胛骨和目标肋骨骨折进行手术固定。首先进行胸腔镜手术处理相关肺部病变并标记目标肋骨。所有患者均接受相同的康复方案和至少 12 个月的随访。
所有固定的骨折最终均愈合，无畸形愈合。无肋间神经痛、感染或其他并发症的报告。受伤肩部的平均活动范围至少恢复到对侧的 90%。12 个月时的平均肩肘手功能障碍（DASH）评分为 2.0（范围：0-7）。所有患者均能恢复到先前的工作。
镜像 Judet 入路可通过同一入路对同侧肩胛骨和多发性肋骨骨折进行手术固定，为精心选择的患者提供可接受的功能结果。
IV 级。
