Objective:To investigate the efficacy of surgical treatment for scapular fractures. Methods: A total of 23 patients with scapular fractures were treated by open reduction and internal fixation. Results: All cases were followed up for an average of 12. 8 months (range from 4 to 16 months). The clinical efficacy was assessed with Rowc score. 91. 3% of the patients achieved an excellent or good result. Conclusions: Open reduction and internal fixation of scapular fractures can achieve good outcomes.%目的:观察切开复位内固定治疗肩胛骨骨折的临床疗效,探讨肩胛骨骨折的手术适应证.方法:采用切开复位内固定治疗23例肩胛骨骨折患者,患者术后进行适当功能锻炼.随访所有病例,观察治疗效果.结果:所有病例均得到随访,随访时间为4~16个月,平均随访时间为12.8个月.依据Rowe肩关节功能评分作为疗效评价标准,23例患者中疗效优17例,良4例,优良率为91.3%.结论:肩胛骨骨折在严格掌握手术适应证的前提下早期采用切开复位内固定手术结合功能锻炼,可取得良好的疗效.
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