Application value of posterior minimally invasive internal fixation technique in patients with scapular fractures
Objective To explore the application value of minimally invasive posterior approach internal fixation technology in the treatment of patients with scapular fractures.Methods A retrospective analysis was conducted on the clinical data of 40 patients with scapular fractures treated in the Orthopedics Department of Changqing District People's Hospital(25 cases)and the Trauma Orthopedics Department of Shandong Provincial Hospital(15 cases)from August 1,2018 to Feb-ruary 25,2022.According to the internal fixation technique approach,the patients were divided into a posterior minimal-ly invasive approach group(observation group)and a Judet traditional approach group(control group),with 20 cases in each group.Statistical analysis of perioperative indicators,shoulder joint mobility,pain level,arm shoulder hand dys-function,shoulder joint function,daily living ability,clinical efficacy,incidence of postoperative complications,and satis-faction with the appearance of the skin around the incision in two groups of patients.Results The incision length of the observation group patients was(11.30±2.44)cm,which was shorter than that of the control group(28.02±4.51)cm,t=14.582,P＜0.001.The intraoperative blood loss was(100.02±9.44)ml,which was less than that of the control group(420.03±9.12)ml,t=109.031,P＜0.001.The operation time was(86.42±11.45)minutes,which was shor-ter than the control group's(120.56±9.86)minutes,t=14.290,P＜0.001.The fracture healing time was(10.02±1.06)weeks,which was shorter than the control group's(12.02±2.14)week,t=5.297,P＜0.001.After adjusting for baseline data before surgery,the shoulder joint abduction,external rotation,horizontal adduction,and flexion range of motion of both groups of patients were higher than before surgery,and the observation group had higher range of motion than the control group,with F-values of 11.200,11.028,12.211,and 12.139,respectively,all P＜0.001.After sur-gery,the visual analogue scale(VAS)scores and disability of arm shoulder and hand(DASH)scores were lower in both groups of patients than before surgery,while the Constant shoulder joint score and activity of daily living scale(ADL score were higher than before surgery.The VAS score and DASH score of the observation group were lower than those of the control group,while the Constant score and ADL score were higher than those of the control group,with F-values of 13.690,10.310,18.135,and 3.331,respectively,all P＜0.001.The excellent and good recovery rate of shoulder joint function in the observation group was 95.00％(19/20),which was higher than the 75.00％(15/20)in the control group,x2=6.275,P=0.012.The incidence of postoperative complications in the observation group was 5.00％(1/20),which was lower than the 20.00％(4/20)in the control group,x2=4.114,P=0.043.The satisfaction rate of the skin appearance around the incision in the observation group was 95.00％(19/20),which was higher than the 70.00％(14/20)in the control group,x2=8.658,P=0.003.Conclusion The application effect of minimally invasive posterior ap-proach internal fixation technology in the treatment of scapular fractures is superior to Judet's traditional approach internal fixation surgery,which can improve perioperative indicators,pain levels,and functional recovery,reduce postoperative complications,improve the rate of excellence and satisfaction with the appearance of the skin around the incision.
scapula fractureJudet traditional approachminimally invasive posterior approachinternal fixation technolo-gyshoulder joint range of motionshoulder joint function
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