Outcome Analysis of Intra-Articular Scapula Fracture Fixation with Distal Radius Plate: A Multicenter Prospective...

Area of Science:

• Orthopedic surgery
• Traumatology
• Shoulder joint biomechanics

Background:

• Scapula fractures are rare, accounting for approximately 1% of all fractures.
• These injuries represent 3% to 5% of all shoulder joint injuries.

Purpose of the Study:

• To evaluate the clinical outcomes of surgically treated displaced glenoid fractures.
• Assessed the efficacy of distal radius plate fixation in 20 patients.

Main Methods:

• Surgical stabilization of 20 intra-articular glenoid fractures using a distal radius locking plate.
• Clinical outcomes were assessed using the Constant and Murley score, comparing injured to uninjured shoulders.

Main Results:

• Median Constant and Murley score was 88%, indicating good functional outcomes.
• Achieved mean active abduction of 135°, flexion of 138°, and external rotation of 38°.
• Most patients (16/20) achieved excellent or good results, with minor complications like superficial infection and stiffness.

Conclusions:

• Distal radius locking plate fixation is effective for articular reconstruction of displaced glenoid fractures.
• This technique provides good functional outcomes and promotes early restoration of shoulder range of motion.