EVALUATION OF TREATMENT OUTCOMES OF INTERNAL FIXATION OF SCAPULAR FRACTURES

Thai Ngoc Binh1, , Anh Tuan Phung2, Nhat Dinh Vu3
1 Bộ môn Chấn thương Chỉnh hình, Bệnh viện Quân y 103, Học viện Quân y
2 Bộ môn - Trung tâm Chẩn đoán Hình ảnh, Bệnh viện Quân y 103, Học viện Quân y
3 Học viện Quân y

Main Article Content

Abstract

Objectives:  To evaluate treatment outcomes of open reduction and internal fixation (ORIF) for fractures of the glenoid, scapular neck, and scapular body. Methods:Across-sectional descriptive study was conducted on 52 patients with glenoid, scapular neck, or body fractures treated with ORIF at the Trauma and Orthopaedics Center, Military Hospital 103, from June 2019 to December 2024. Shoulder function was evaluated using the Constant-Murley score. Data were analyzed with SPSS 22.0, with p < 0.05 being considered statistically significant. Results: The mean age was 46.6 years (range 19 - 71), and 84.6% were male, with traffic accidents being the leading cause (82.7%). At 3 months postoperatively, all fractures achieved union; shoulder function was moderate in 38.5% and good in 59.6% of patients. At 6 - 12 months, 90.4% showed good to excellent results, with a mean Constant-Murley score of 79.2. Long-term follow-up averaged 33.91 months, with 95.4% of patients achieving good to excellent shoulder function, and a mean Constant-Murley score of 84.5. Preoperative glenopolar angle (GPA) was significantly associated with functional recovery (p = 0.04). Conclusion: ORIF for scapular fractures of the glenoid, neck, and body achieves high union rates, significantly improves shoulder function, and represents an effective treatment for displaced fractures.

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References

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