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A Reverse Judet approach to the scapula
Ruben Manohara1, V Prem Kumar2
1Department of Orthopaedic Surgery, National University of Singapore, National University Health System, NUHS Tower Block, Level 11, 1E Kent Ridge Road, Singapore, 119228, Singapore. ruben_manohara@nuhs.edu.sg.
Abstract:
Fractures of the scapular body that extend to involve the neck and glenoid articular surface with a large gap pose a significant problem for surgical exposure. Several surgical approaches for scapula fixation have been described, but all give limited exposure to the entire scapular body, neck and articular surface. Here, we describe our 'Reverse Judet' technique, with cadaveric dissections and discuss a clinical case. We believe this approach gives a wide exposure of the infraspinous scapular body, neck and glenoid articular surface while keeping away from vital neural structures.
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