摘要
Abstract
Objective To evaluate the efficacy of the anterior shoulder approach in the treatment of Ideberg type Ⅰ a glenoid fractures.Methods A retrospective analysis was conducted on the clinical data of 28 patients with glenoid fractures who were treated via the anterior shoulder approach between January 2019 and March 2024 at Central Theatre General Hospital of PLA.Among them,16 patients underwent internal fixation with precontoured miniplates,and 12 patients were treated with absorbable screws.Operative time,intraoperative blood loss,length of stay,and shoulder function-assessed using Constant-Murley Score(CSS),American Shoulder and Elbow Surgeons(ASES)Score,as well as range of motion(forward flexion,abduction,external rotation,and internal rotation),were recorded and analyzed at 3 months postoperatively and at the final follow-up.Results All 28 patients were followed up for a period ranging from 12 to 18 months,with a mean duration of 15 months.Bony union was achieved in all cases.The mean operative time was 103 min,with an average intraoperative blood loss of 61.5 mL and a mean hospital stay of 9.2 d.At the final follow-up,the Constant-Murley score ranged from 75 to 92 points[mean(83.8±4.2)points],and the ASES score ranged from 57 to 97 points[mean(84.3±11.6)points].Shoulder forward flexion ranged from 150° to 170°[mean(164.2±12.8)°],abduction from 120° to 175°[mean(150.8±21.5)°],and external rotation from 60° to 78°[mean(68.1±11.2)°].Internal rotation reached between the T5 and T7 spinal processes(mean,T6).Significant improvements were observed in the Constant-Murley score,ASES score,and shoulder range of motion compared with preoperative values.One patient developed traumatic arthritis postoperatively,with no other notable complications reported.Conclusion The anterior shoulder approach for the treatment of Ideberg Ⅰ a glenoid fractures offers the advantages of stable fixation,the use of low-profile implants,a low postoperative complication rate,and facilitation of early functional recovery,thereby providing a valuable reference for the clinical management of such fractures.关键词
肩前方入路/肩胛盂骨折/Ideberg Ⅰa型Key words
Anterior shoulder approach/Glenoid fracture/Ideberg type Ⅰa分类
医药卫生
