Grogan D P, Stanley E A, Bobechko W P
J Bone Joint Surg Br. 1983 Nov;65(5):598-605. doi: 10.1302/0301-620X.65B5.6643564.
At The Hospital for Sick Children in Toronto, 21 undescended scapulae were corrected by the Woodward procedure in 20 patients over the past 18 years. The average age at operation was six years six months. The average follow-up period after operation was 8 years 9 months. Fifteen patients were girls and five were boys. All the patients had other associated abnormalities. Only one patient had a concomitant clavicular osteotomy. The average increase in glenohumeral abduction was 37 degrees. The average scapular lowering was two centimetres. Excellent or good cosmetic results were obtained in 80 per cent of patients. Ninety-three per cent of patients expressed satisfaction with the operative results. Complications were few. The Woodward procedure is a safe and relatively straightforward surgical means to effect a good cosmetic and functional improvement in a patient with a congenital undescended scapula. We do not recommend clavicular osteotomy as a routine, but it may be added to gain more correction with less risk of neurovascular compression.
在多伦多病童医院，过去18年里，20例患者的21块肩胛下移通过伍德沃德手术得到矫正。手术的平均年龄为6岁6个月。术后的平均随访期为8年9个月。15例患者为女孩，5例为男孩。所有患者都有其他相关异常。只有1例患者同时进行了锁骨截骨术。盂肱关节外展平均增加37度。肩胛骨平均下移2厘米。80%的患者获得了优良的美容效果。93%的患者对手术结果表示满意。并发症较少。伍德沃德手术是一种安全且相对简单的手术方法，可使先天性肩胛下移患者获得良好的美容和功能改善。我们不建议常规进行锁骨截骨术，但可增加此操作以获得更多矫正，同时降低神经血管受压的风险。
