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Related Experiment Videos

R Madeja1, V JeČmÍnek, L Bialy

  • 1Klinika úrazové chirurgie Fakultní nemocnice Ostrava.

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|August 11, 2020
PubMed
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Arthroscopically assisted osteosynthesis of intraarticular scapular fractures.

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[Open Pelvic Fractures with a Faringer I Zone Injury: a Set of 3 Case Reports Treated in 2020].

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca·2022

This study shows that using arthroscopy with minimally invasive osteosynthesis improves accuracy in treating glenoid fractures. This technique offers a beneficial approach for complex scapular injuries when surgical expertise is mastered.

Area of Science:

  • Orthopedic Surgery
  • Arthroscopy
  • Skeletal Trauma Management

Background:

  • Scapular fractures are uncommon, typically treated non-operatively.
  • Osteosynthesis is reserved for displaced intra-articular or severely displaced extra-articular scapular fractures.
  • Minimally invasive techniques, including arthroscopy, are emerging for intra-articular scapular fractures.

Purpose of the Study:

  • To evaluate the efficacy of minimally invasive osteosynthesis using arthroscopy and fluoroscopy for intra-articular scapular fractures.
  • To assess the accuracy of reduction and clinical outcomes in patients undergoing this procedure.

Main Methods:

  • Nine patients with intra-articular scapular fractures underwent osteosynthesis with perioperative fluoroscopy and arthroscopy.
  • 4.5 mm cannulated screws were used for fixation.

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  • Patients were immobilized for 4 weeks, followed by standard rehabilitation, with follow-up up to 24 months.

    • Main Results:

    • No perioperative complications were reported; operative times ranged from 45-120 minutes.
    • Accurate reduction (displacement < 2 mm) was achieved in all cases.
    • Mean Constant score was 83 at 2 years, with an average elevation restriction of 12°.

    Conclusions:

    • Arthroscopy enhances fragment reduction accuracy and enables minimally invasive osteosynthesis for specific intra-articular scapular fractures.
    • This technique requires mastery of surgical skills and specialized instruments.
    • When performed correctly, arthroscopy-assisted minimally invasive osteosynthesis is a beneficial treatment for glenoid fractures.