Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study
Abstract Background This study aimed to compare the functional outcomes of the Y-type locking plate with the straight reconstruction locking plate for severe displaced scapular fractures. Methods This was a retrospective cohort study of 37 patients with severe displaced scapular body and neck fractu...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-019-1205-y |
| _version_ | 1798002849858191360 |
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| author | Yuanjun Hu Huiming Shi Fei Wang Guangtie Ren Ruiping Cheng Zhizhong Zhang |
| author_facet | Yuanjun Hu Huiming Shi Fei Wang Guangtie Ren Ruiping Cheng Zhizhong Zhang |
| author_sort | Yuanjun Hu |
| collection | DOAJ |
| description | Abstract Background This study aimed to compare the functional outcomes of the Y-type locking plate with the straight reconstruction locking plate for severe displaced scapular fractures. Methods This was a retrospective cohort study of 37 patients with severe displaced scapular body and neck fractures treated between July 2013 and October 2016 at the Hanzhong Central Hospital. Treatment selection was based on the surgeon’s experience and discussion with the patient. Sixteen patients received Y-type locking plates and 21 patients received straight reconstruction locking plates. The primary indexes were the Constant Shoulder Function (CSF) and Disabilities of the arm, shoulder, and hand (DASH) scores at 3, 6, and 12 months. Results There were 32 males and five females. Mean age was 46.0 ± 10.0 years. The cause of injury included car accident, fall, high fall, and bruising. At 3 months, compared with the straight reconstruction locking plate group, the Y-type locking plate group showed higher CSF scores (82.9 ± 3.5 vs. 79.3 ± 4.4, P = 0.01) and lower DASH scores (9.5 ± 2.5 vs. 12.7 ± 3.9, P = 0.008). There were no differences at 6 and 12 months. There were no differences between the two groups regarding intraoperative blood loss (P = 0.65) and operation time (P = 0.634). There were no complications such as plate rupture and screw prolapse during the 1-year follow-up. Conclusions Open reduction using the distal humeral Y-type locking plate can achieve better short-term functional outcomes (3 months) than the straight reconstruction locking plate for severe displaced scapular body and neck fractures, but outcomes are similar at 6 and 12 months. Level of evidence: II-2. |
| first_indexed | 2024-04-11T11:58:45Z |
| format | Article |
| id | doaj.art-a29ade1310ed4d75a65ba7dbcecd5441 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T11:58:45Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-a29ade1310ed4d75a65ba7dbcecd54412022-12-22T04:25:00ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-06-011411810.1186/s13018-019-1205-yFunctional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective studyYuanjun Hu0Huiming Shi1Fei Wang2Guangtie Ren3Ruiping Cheng4Zhizhong Zhang5Traumatic Orthopaedics Department Ward I, Hanzhong Central HospitalTraumatic Orthopaedics Department Ward I, Hanzhong Central HospitalTraumatic Orthopaedics Department Ward I, Hanzhong Central HospitalTraumatic Orthopaedics Department Ward I, Hanzhong Central HospitalTraumatic Orthopaedics Department Ward I, Hanzhong Central HospitalTraumatic Orthopaedics Department Ward I, Hanzhong Central HospitalAbstract Background This study aimed to compare the functional outcomes of the Y-type locking plate with the straight reconstruction locking plate for severe displaced scapular fractures. Methods This was a retrospective cohort study of 37 patients with severe displaced scapular body and neck fractures treated between July 2013 and October 2016 at the Hanzhong Central Hospital. Treatment selection was based on the surgeon’s experience and discussion with the patient. Sixteen patients received Y-type locking plates and 21 patients received straight reconstruction locking plates. The primary indexes were the Constant Shoulder Function (CSF) and Disabilities of the arm, shoulder, and hand (DASH) scores at 3, 6, and 12 months. Results There were 32 males and five females. Mean age was 46.0 ± 10.0 years. The cause of injury included car accident, fall, high fall, and bruising. At 3 months, compared with the straight reconstruction locking plate group, the Y-type locking plate group showed higher CSF scores (82.9 ± 3.5 vs. 79.3 ± 4.4, P = 0.01) and lower DASH scores (9.5 ± 2.5 vs. 12.7 ± 3.9, P = 0.008). There were no differences at 6 and 12 months. There were no differences between the two groups regarding intraoperative blood loss (P = 0.65) and operation time (P = 0.634). There were no complications such as plate rupture and screw prolapse during the 1-year follow-up. Conclusions Open reduction using the distal humeral Y-type locking plate can achieve better short-term functional outcomes (3 months) than the straight reconstruction locking plate for severe displaced scapular body and neck fractures, but outcomes are similar at 6 and 12 months. Level of evidence: II-2.http://link.springer.com/article/10.1186/s13018-019-1205-yScapular fractureOpen reductionY-type locking plateReconstruction locking plate |
| spellingShingle | Yuanjun Hu Huiming Shi Fei Wang Guangtie Ren Ruiping Cheng Zhizhong Zhang Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study Journal of Orthopaedic Surgery and Research Scapular fracture Open reduction Y-type locking plate Reconstruction locking plate |
| title | Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study |
| title_full | Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study |
| title_fullStr | Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study |
| title_full_unstemmed | Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study |
| title_short | Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study |
| title_sort | functional outcomes of extra articular scapula fracture fixation with distal humeral y type locking plate a retrospective study |
| topic | Scapular fracture Open reduction Y-type locking plate Reconstruction locking plate |
| url | http://link.springer.com/article/10.1186/s13018-019-1205-y |
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