The clinical effects of straight incision in the treatment of scapular neck and body fractures

Abstract

Objective To evaluate the clinical effect of straight incision in the treatment of scapular neck and body fractures .Methods 62 cases with scapular neck and body fractures were randomly divided into the obser -vation group （30 cases） and control group （32 cases）.The control group was given the traditional Judet approach operation,the observation group was given the straight incision operation .The general situation of operation ,fracture healing time ,clinical efficacy and postoperative complications were observed .The improvement of joint function after operation was evaluated .Results The operation incision ,operation time and intraoperative blood loss of the observa-tion group were significantly better than those of the control group （t=9.599,9.506,21.297,P〈0.01）.The fracture healing time between two groups had no statistically significant difference （t=0.922,P=0.35）.The effective rate of fracture healing in the observation group was 93.3%,which was significantly higher than 71.9%of the control group （χ2 =4.885,P〈0.05）.The incidence rate of complication in observation group was 13.3%,which was lower than 37.5%in the control group（χ2 =4.723,P〈0.05）.The score of daily activities in observation group was better than the control group（t=3.761,P〈0.01）.Conclusion The straight incision operation is more minimally invasive in the treatment of scapular neck and body fractures compared with Judet approach ,and it has better prognosis . Key words: Straight incision; Judet approach; Shoulder fractures