Analysis of the Difference in Efficacy between the Trans-rotator Cuff Muscle Gap Approach and the Judet Approach in the Treatment of Scapula Fractures
Objective To study the difference in the efficacy of trans-Judet and trans-rotator cuff muscle gap ap-proaches in the treatment of scapula fracture.Methods A total of 78 patients with scapular fractures admitted to Xu-zhou Renci Hospital from January 2021 to June 2023 were conveniently selected as the research objects.They were di-vided into two groups by random number table method.The control group was treated with Judet approach(39 cases),and the observation group was treated with rotator cuff intermuscular approach(39 cases).The surgical indexes,shoul-der joint function,excellent and good rate of scapular recovery and complications were compared between the two groups.Results There was no significant difference in fracture healing time between the two groups(P>0.05);the intra-operative blood loss,incision length,postoperative drainage volume,operation time and postoperative swelling time in the observation group were better than those in the control group,the differences were statistically significant(all P<0.05).The score of shoulder joint function(pain,daily activity,muscle strength,shoulder joint activity)in the observa-tion group was higher than that in the control group,and the differences were statistically significant(t=4.628,7.230,8.107,4.406,all P<0.05).The excellent and good rate of scapula recovery in the observation group(97.44%)was higher than that in the control group(79.49%),and the difference was statistically significant(x2=4.522,P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Compared with Judet approach,trans-rotator cuff muscle gap approach for scapula fracture has smaller incision,less bleeding and drainage,faster recovery,fewer complications,better post-operative recovery of shoulder joint function,and better efficacy.
Scapula fractureJudet approachRotator cuff muscle gapComplicationsShoulder joint function
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