engleski

Surgical treatment of scapular fractures: Results and complications

Introduction: The aim of this study was to describe a surgical technique and report on patient-based functional outcomes and complications following open reduction and internal fixation in patients with scapular fractures. Methods: The study comprised 14 patients who were treated with open reduction and internal fixa- tion (ORIF) of a scapular fractures between September 2010 and July 2018. Surgical indications were as follows: medial/lateral displacement greater than 20 mm ; shortening greater than 25 mm ; angular de- formity greater than 40° ; intra-articular step-off greater than 4 mm ; and double shoulder suspensory injuries (including fracture of the clavicle, coracoid or acromion with displacement greater than 10 mm). All patients underwent X-ray examination (true AP, Y scapular view) and computed tomography (CT) scans. Fractures were classified according to the revised (AO/OTA) classification system. Functional out- comes were measured using Constant- Murley scores. Results: Seven patients had glenoid fossa fractures, six patients had scapular body fractures and one pa- tient had an acromion process fracture. All glenoid fossa and scapular body fractures were exposed via the Judet approach. Eleven of 14 patients were given Constant-Murley scores at the final follow-up ex- amination ; three patients were lost to follow-up. The mean follow-up after injury was 44 months (range, 6–92 months). We found infraspinatus muscle hypotrophy in four patients. The mean Constant- Murley score was 93.45 (±8.93) for the injured arm and 98.36 (±2.91) for the uninjured arm. The mean score between the injured and uninjured arm was 4.91(±6.49), which is an excellent functional outcome ac- cording to the Constant-Murley score. Conclusions: Open reduction and internal fixation of displaced scapular fractures is a safe and effective treatment option that results in a reliable union rate and good-to-excellent functional outcome.

scapular fracture ; surgical treatment ; functional outcome ; open reduction and internal fixation ; judet approach ; constant-Murley score

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