Single lateral versus medial and lateral plates for treating displaced scapular body fractures: a retrospective comparative study

Ao, Rongguang; Yu, Baoqing; Zhu, Yalong; Jiang, Xinhua; Shi, Jifei; Zhou, Jian

doi:10.1016/j.jse.2017.07.028

Cited by 11 publications

(12 citation statements)

References 14 publications

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“…For severe displaced unstable fractures involving the scapular body and neck, the common internal fixations include 3.5-mm locking plate, 2.7-mm reconstruction locking plate, distal radius T-type plate, calcaneous deformed plate, and microplate [3–5, 7, 13–16]. Previous studies reported that for this type of fracture (AO/OTA 14-A3.1 or 3.2), the use of the medial and lateral border [14] and multiplate fixation [5, 8] can achieve good shoulder functions. Ao et al [14] compared the use of single lateral and medial-lateral plates for the treatment of scapular fractures, and the single lateral plate treatment achieved good clinical results, shorter operative time, less blood loss, and fewer plate-related complications.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies reported that for this type of fracture (AO/OTA 14-A3.1 or 3.2), the use of the medial and lateral border [14] and multiplate fixation [5, 8] can achieve good shoulder functions. Ao et al [14] compared the use of single lateral and medial-lateral plates for the treatment of scapular fractures, and the single lateral plate treatment achieved good clinical results, shorter operative time, less blood loss, and fewer plate-related complications. Burke et al [22] found that the sclerotin of the base of the scapula spine and lateral border of the scapulae and scapular neck are relatively thick, and are used for anatomic sites of internal fixation.…”

Section: Discussionmentioning

confidence: 99%

“…4 and 5). The CSF score and the DASH questionnaire were evaluated at 3, 6, and 12 months [14, 21].

Fig.…”

Section: Methodsmentioning

confidence: 99%

“…The exposure variable was the type of plate, Y-type locking plate vs. straight reconstruction locking plate. The primary outcomes were the CSF and DASH scores at 3, 6, and 12 months [14, 21]. The secondary outcomes were intraoperative blood loss, operation time, postoperative complications (such as wound healing, infection, nonunion, implant failure, pain, and plate prominence), and demographic and clinical data (gender, age, location of injury, cause of injury, combined injury, and preoperative days) were compared between the two groups.…”

Section: Methodsmentioning

confidence: 99%

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Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study

Shi

Wang

et al. 2019

J Orthop Surg Res

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Background This study aimed to compare the functional outcomes of the Y-type locking plate with the straight reconstruction locking plate for severe displaced scapular fractures. Methods This was a retrospective cohort study of 37 patients with severe displaced scapular body and neck fractures treated between July 2013 and October 2016 at the Hanzhong Central Hospital. Treatment selection was based on the surgeon’s experience and discussion with the patient. Sixteen patients received Y-type locking plates and 21 patients received straight reconstruction locking plates. The primary indexes were the Constant Shoulder Function (CSF) and Disabilities of the arm, shoulder, and hand (DASH) scores at 3, 6, and 12 months. Results There were 32 males and five females. Mean age was 46.0 ± 10.0 years. The cause of injury included car accident, fall, high fall, and bruising. At 3 months, compared with the straight reconstruction locking plate group, the Y-type locking plate group showed higher CSF scores (82.9 ± 3.5 vs. 79.3 ± 4.4, P = 0.01) and lower DASH scores (9.5 ± 2.5 vs. 12.7 ± 3.9, P = 0.008). There were no differences at 6 and 12 months. There were no differences between the two groups regarding intraoperative blood loss ( P = 0.65) and operation time ( P = 0.634). There were no complications such as plate rupture and screw prolapse during the 1-year follow-up. Conclusions Open reduction using the distal humeral Y-type locking plate can achieve better short-term functional outcomes (3 months) than the straight reconstruction locking plate for severe displaced scapular body and neck fractures, but outcomes are similar at 6 and 12 months. Level of evidence: II-2.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…4 and 5). The CSF score and the DASH questionnaire were evaluated at 3, 6, and 12 months [14, 21].

Fig.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study

Shi

Wang

et al. 2019

J Orthop Surg Res

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“…The literature provides current clinical results after plating of displaced scapular corpus fractures with comparison of a single plate on the lateral border (n = 22) versus use of DPO with an additional plate on the medial border (n = 23) to avoid secondary loss of re-duction of the medial scapular margin [7]. At an average followup of 20 months, both groups showed comparable results in the DASH and Constant scores.…”

Section: Scapulamentioning

confidence: 99%

Clinical Application and Outcomes of Upper Extremity Double Plating

et al. 2019

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Dual plating in fractures of the upper extremity is well established for the distal humerus. The indication for the use of dual plating has been expanded over the last few years. While dual plating was originally frequently used in revisions of non-unions, it is nowadays also used in primary fixation of diverse complex fractures of the upper extremity. The high biomechanical fixation strength of dual plating is advantageous in regions with high bending and torsional stresses, such as the humeral shaft. An additional anterior plate provides high fixation strength and reduces the risk of loss of reduction in complex proximal humeral fractures and allows for direct fixation of lesser tuberosity fragments. Low-profile plates have been introduced for complex proximal ulna fractures. In dual plating the improved mechanical stability is combined with a reduced risk of implant related soft tissue irritations. The present article provides an overview of current indications for dual plating of upper extremity fractures and outlines technical aspects as well as advantages over conventional fixation techniques.

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Implantology of Scapula and Glenoid Fractures

Trikha¹,

Das²

2022

Handbook of Orthopaedic Trauma Implantology

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Single lateral versus medial and lateral plates for treating displaced scapular body fractures: a retrospective comparative study

Cited by 11 publications

References 14 publications

Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study

Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study

Clinical Application and Outcomes of Upper Extremity Double Plating

Implantology of Scapula and Glenoid Fractures

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