Retrospective Study For The Effect Of Surgery On Scapula Fracture Involved In The Glenoid

Objective:we collected clinical data from the patients with fracture of scapula fracture involved in the glenoid undergoing open reduction and internal fixation, including treatment methods, following up results and so on, and assessed the clinical effect of these patients with scapula fracture involved in the glenoid.Methods:twelve scapula fracture involved in the glenoid patients from Tengzhou Central People’s Hospital of Shandong Province were treated with open reduction and internal fixation for displaced intra-articular fractures from June2008to June2013. All patients were aged between23-65years, mean age41.2years old. The indication for operative fixation was intra-articular displacement>4mm. Post-operative functional outcomes were assessed via retrospective chart review. Evaluation included review of pre-operative imaging for fracture type, review ofAll patients underwent pre-operative plain radiographs and3D-CT examination and clinical classification, post-operative plain radiographs for fracture healing,. All the patients were given to Disabilities of the Arm Shoulder and Hand (DASH) and American Shoulder and Elbow Surgeon Assessment (ASES) scores at last follow-up to evaluate postoperative shoulder function.Results:At a mean follow-up of42months (12-72months), all12cases of patients had radiographic healing, the average DASH score was11.6(0.93-30.24). Average (ASES) score of about91(43-100). No patients had evidence of hardware failure or infection.Conclusion:patients with scapula fracture involved in the glenoid by open reduction and internal fixation can be associated with good functional outcome,If they can get a stable fixation and with early functional exercise.