ORIF | 合法醫療器材資訊網

Forpostoperativetreatmentofsurgicallyoperatedscapularfracturesandnonoperativetreatmentoffracturesofthescapulawhicharetreatedconservativelyis ...

The complex articular fracture is often difficult to reduce. The best provisional reduction, if it cannot be achieved with screws, will now be maintained by the fixation of the plate to the articular block.

Preoperative assessment of these fractures is critical. If the CT and 3D reconstruction suggests that a satisfactory articular reduction of the articular fracture cannot be achieved, then closed treatment may be the best option.

In a patient for whom restoration of function is important, at least 70% of the glenoid should be reconstructable to achieve stability of the shoulder and congruency of the joint.

If the articular segment is reducible, then carry on as for simple articular neck multifragmentary fractures.

To illustrate the principles, we will here show the treatment of a fracture with but a multifragmentary articular block and multifragmentary neck.