Three-dimensional reconstruction combined with minimally invasive titanium plate or lag screw in the repair of complex scapular fractures

doi:10.3969/j.issn.2095-4344.2014.26.008

Abstract

Abstract:

BACKGROUND: Complex scapular fractures were mainly treated by implant fixation. Standard fixation approach (Judet approach) had long incision and big trauma. With the application of spiral CT and three-dimensional reconstruction, minimally invasive incision could be designed before implant fixation, and then fixation could be finished by physicians. Thus, trauma was reduced and repair effect was elevated.
OBJECTIVE: To observe the effects of the three-dimensional reconstruction design combined with titanium plate reconstruction or lag screw for treatment of scapular fractures.
METHODS: From February 2007 to January 2012, 33 cases of scapular fractures were enrolled from Department of Orthopedics, No. 1 Hospital of Qinhuangdao in China. They were scanned by three dimensional reconstruction of CT before implant fixation to identify the regions needed to be repositioned and fixed. Thus, minimally invasive incision of implant fixation was designed. The dissection of skin, subcutaneous tissue and muscle was reduced. Reposition was performed. Titanium plate and/or lag screw were used for fixation.
RESULTS AND CONCLUSION: The operation lasted for 90-130 minutes in 33 patients, with intraoperative blood loss for 300-400 mL. Fracture was totally healed, and the healing time was 2-4 months. The follow up lasted for 12-24 months. According to Hardegger standard, there were excellent in 17 cases, good in 12 cases, average in 3 cases and poor in 1 case, with an excellent and good rate of 88%. These results suggested that three-dimensional reconstruction design combined with minimally invasive incision treatment for scapular fractures showed fewer traumas, can complete the satisfactory fracture reduction and implant fixation, and obtain good repair effect.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: prostheses and implants, scapula, fractures, bone, internal fixators, imaging, three-dimensional, surgical procedures, minimally invasive

CLC Number:

R318

Li Xue-jin, Xu Jie, Liu Ying, Pei Bao-yan, Li Qun, Jiang Yong-chong. Three-dimensional reconstruction combined with minimally invasive titanium plate or lag screw in the repair of complex scapular fractures[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(26): 4142-4147.

Figures/Tables 2

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