Functional Outcome of Open Reduction and Internal Fixation of Displaced Extra-Articular Scapula Fractures
- PDF / 846,269 Bytes
- 6 Pages / 595.276 x 790.866 pts Page_size
- 103 Downloads / 237 Views
ORIGINAL ARTICLE
Functional Outcome of Open Reduction and Internal Fixation of Displaced Extra‑Articular Scapula Fractures S. Jaikish1 · Balaji Sambandam1 Received: 1 May 2020 / Accepted: 17 October 2020 © Indian Orthopaedics Association 2020
Abstract Background Scapular fractures are uncommon injuries of upper extremity resulting mostly from high-energy trauma. Extraarticular fractures form the majority of them. Un-displaced fractures can be managed conservatively with good results. But displaced fracture does not yield satisfactory results and needs surgical fixation. In this case series, we report our experience about such fractures. Methods This was a retrospective study of 12 patients with displaced scapular body and neck fractures treated between 2015 and 2018. Scapular fractures were exposed by modified Judet approach and fixed with either 3.5 mm T buttress or recon locking plate and screws. One case had associated clavicle fracture which was fixed along with scapula. Patients were put on structured rehabilitation and followed up regularly. Functional outcome and range of motion were analyzed. Results The patients included 10 males and two females. Mean age was 42 years. Average follow-up was 33 months. Average constant and Murley score was 80. Excellent results were seen in four patients, good results in seven patients and one patient has got fair result. The mean post-operative range of motion of the shoulder at the time of final follow-up was 140° of forward flexion, 136° of abduction, and 34° of external rotation. Conclusion Displaced extra-articular scapular fractures managed by internal fixation using T buttress locking plates and reconstruction plates give good functional outcome. Keywords Scapula fracture · Extra-articular fracture · Floating shoulder · Plating
Introduction Scapula forms an important link between the upper limb and trunk. It has an important role to play in coordinating the complex shoulder movements. Scapular fractures usually result from high-energy trauma. Scapular fractures per se are relatively uncommon. They constitute 0.4–1% of all fractures and 3–5% of shoulder injuries [1, 2]. Extra-articular fractures of the body and neck account for 62–98% of all scapular fractures sub-types [3, 4]. Most of the scapular fractures are treated conservatively. But displaced fractures have to be fixed surgically. Conservative management in displaced fracture can lead to shoulder joint dysfunction, * Balaji Sambandam [email protected] S. Jaikish [email protected] 1
Atlas Hospitals, First cross, V.N. Nagar, Trichy 620002, Tamil Nadu, India
chronic pain, and other complications [5, 6]. Internal fixation of scapular fracture is not an easy solution, because it posts unique challenges, with regard to approach and fixation technique. Obtaining proper reduction and a proper intraoperative radiographic image will be challenging, particularly with comminuted fracture. Moreover, there is a risk of injury to neurovascular structures around the scapula. Clinical observations have s
Data Loading...
