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Related Experiment Video

Updated: Jun 5, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Reverse Versus Modified Judet Approach for Extra-Articular Glenoid Neck and Scapular Body Fractures: A Retrospective

Qianxi Wang1, Zehao Guo1,2, Jingtian Shi1

  • 1Department of Orthopedics, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

Orthopaedic Surgery
|June 3, 2026
PubMed
Summary

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The reverse Judet approach for scapular fractures offers smaller incisions and less tissue damage compared to the modified Judet approach, with similar functional recovery. This minimally invasive technique provides better esthetic outcomes for posterior shoulder injuries.

Area of Science:

  • Orthopedic surgery
  • Traumatology
  • Surgical techniques

Background:

  • The reverse Judet approach is a modification for scapular fractures aimed at reducing surgical morbidity.
  • Comparative data on its efficacy and safety versus the modified Judet approach are limited.

Purpose of the Study:

  • To evaluate the safety and feasibility of the reverse Judet approach for scapular fractures.
  • To compare the reverse Judet and modified Judet approaches regarding perioperative outcomes and postoperative functional recovery.

Main Methods:

  • Retrospective analysis of 40 patients with scapular fractures (18 reverse Judet, 22 modified Judet).
  • Data collected included incision length, flap area, operative time, blood loss, DASH scores, Constant-Murley scores, and complications.
Keywords:
clinical outcomesmodified Judetreverse Judetscapular fracture

Related Experiment Videos

Last Updated: Jun 5, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Main Results:

  • The reverse Judet group demonstrated significantly smaller incision lengths and flap areas.
  • Trends towards shorter operative times and less blood loss were observed in the reverse Judet group, though not statistically significant.
  • No significant differences in functional outcomes (DASH, Constant-Murley scores) or complication rates (nonunion, implant issues, neurovascular injury) were found between the groups.

Conclusions:

  • The reverse Judet approach is safe and feasible, offering reduced tissue damage and smaller incisions for scapular fractures.
  • It provides comparable functional recovery to the modified Judet approach.
  • Its minimally invasive nature and esthetic advantages make it a valuable option for posterior shoulder injuries, though further research on flap design is warranted.