Curative effect evaluation of lateral scapula border approach on scapula neck and body fracture
YANG Hai-qing
DUAN Hong
CHEN Yi
ZHOU Zhao-wen
Abstract：Objective To evaluate the curative effect of lateral scapula border approach on scapula neck and body fracture.Methods Seventy-eight cases of scapula neck and body fracture in the First People's Hospital of Kunming Luscious International Hospital from Dec.2005 to Dec.2015 were selected and were retrospectively analyzed,among whom 56 cases used lateral scapula border approach and 22 cases used Judet approach.In the lateral scapula border approach group,there were 32 males and 24 female,with age ranging from 20 to 58 (average,38.2) years.For the injury causes,42 cases were caused by traffic injury,8 caused by high falling injury,4 caused by bruise injury,and 2 caused by other factors.In the Judet approach group,there were 13 males and 9 females,with age ranging from 22-61 (average,41.5) years.For the injury causes,16 cases were caused by traffic injury,3 caused by high falling injury,2 caused by bruise injury,and 1 caused by other factors.The operation time,blood loss,ASES at 3 months and 12 months after operation were assessed between the two groups.Results The operation time,amount of bleeding of the lateral scapula border approach group were (82.5±7.1) min and (225.3±13.6) mL;while were (115.7±8.9) min and (413.6±16.7) mL in the Judet approach group.By means of statistics analysis,there was significant statistical difference between the two groups (P<0.05).The scores of ASES in pain,stability and function at 3 months after operation in the lateral scapula border approach group were (30.1±4.3),(33.4±2.8) and (26.5±1.3),respectively.The scores of ASES in pain,stability and function at 3 months after operation in the Judet approach group were (24.6±5.1),(30.9±4.5) and (21.5±3.6),respectively.According to statistic analysis,there was significant difference between the two groups (P<0.05);and the score of ASES in pain at 12 months after operation was significantly different (P<0.05),but had no significant difference in stability and function (P>0.05).Conclusion The lateral scapula border approach has obvious advantages over Judet approach in trauma,operation time,bleeding amount,and shoulder joint function.
Keywords：scapula fractureneckbodyapproach
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 517-519 )