Wu Shi-Long, Zhong Yuan-Fu, Guo Zhi-Min
Department of Orthopaedics, Southeast Hospital Affiliated to Xiamen University, 909th Hospital of PLA Joint Logistic Support Force, Zhangzhou 363000, Fujian, China.
Zhongguo Gu Shang. 2023 Sep 25;36(9):880-3. doi: 10.12200/j.issn.1003-0034.2023.09.016.
To analyze the effect of lag screw and support plate through axillary approach for the treatment of Ideberg typeⅡscapular pelvis fracture.
From January 2016 to June 2021, 26 patients with Ideberg typeⅡglenoid fractures were treated with trans-axillary lag screw combined with supporting plate, including 15 males and 11 females. The age ranged from 21 to 75 years, with an average of (43.12±6.56) years old. The Constant-Murley Shoulder joint Scale and University of California at Los Angeles (UCLA) score were used to evaluate the function and clinical efficacy of shoulder joint.
All patients were followed up, and the duration ranged from 19 to 42 months, with an average of (30.6±10.5) months. One year after surgery, the Constant-Murley score increased from preoperative 34.9±2.5(ranged, from 28 to 47) to 87.2±6.8(ranged, from 70 to 95). The UCLA score improved from preoperative 17.9±1.7(9 to 25) to 33.1±2.3(29 to 35). Seventeen patients got an excellent result, with 7 good, and 2 fair. None of the patients had infection, screw, and plate loosening, fracture, and other complications after surgery. Two patients had different degrees of Chronic pain in the shoulder during the follow-up period.
The treatment of Ideberg typeⅡscapular glenoid fractures through axillary approach with lag screws and supporting steel plates has the advantages of convenient exposure, direct visual restoration of the normal anatomical shape of the scapular glenoid, selection of suitable positions for screw and steel plate placement, achieving better treatment results, and fewer complications. It is an effective and reliable surgical method.
分析经腋路拉力螺钉联合支撑钢板治疗IdebergⅡ型肩胛盂骨折的疗效。
选取2016年1月至2021年6月收治的26例IdebergⅡ型肩胛盂骨折患者，采用经腋路拉力螺钉联合支撑钢板治疗，其中男15例，女11例；年龄21～75岁，平均（43.12±6.56）岁。采用Constant-Murley肩关节评分和美国加州大学洛杉矶分校（UCLA）评分评估肩关节功能及临床疗效。
所有患者均获随访，随访时间19～42个月，平均（30.6±10.5）个月。术后1年，Constant-Murley评分由术前34.9±2.5（28～47分）提高至87.2±6.8（70～95分）；UCLA评分由术前17.9±1.7（9～25分）提高至33.1±2.3（29～35分）。优17例，良7例，可2例。术后无感染、螺钉及钢板松动、骨折等并发症发生。随访期间2例患者出现不同程度的肩部慢性疼痛。
经腋路拉力螺钉联合支撑钢板治疗IdebergⅡ型肩胛盂骨折，具有显露方便、直视下恢复肩胛盂正常解剖形态、能选择合适的螺钉及钢板置入位置、治疗效果较好、并发症较少等优点，是一种有效可靠的手术方法。
