Long-term outcome of open reduction and internal fixation of scapular fractures

Abstract

Background Scapular fractures occur due to direct trauma to the upper-back area. The incidence of scapular fractures is rare, with 1% of all fractures and 3–5% of upper-limb fractures. Up to 88% of these fractures occur because of high-energy mechanisms, mostly coincidentally with rib fractures due to motor-vehicle crashes. Standard treatment of scapular fractures is still controversial. There was no consensus about the best indication for surgical management and therapeutic choice of the scapular fracture. Patients and methods This study is a retrospective review of 13 patients with comminuted scapular fracture type V. According to Ideberg classification, 11 males and two females with a mean age of 39.7 years (range, 25–62) were treated by open reduction and internal fixation using the modified Judet approach in the lateral position between March 2014 and April 2018. Results The time for surgery was 5.8 days (range, 2–15). All patients achieved radiological union in almost 12 weeks, ranging from 7 to 14 weeks. The average follow-up of the patients included in the study was 3 years. Conclusion Open reduction and internal fixation provide an excellent outcome in patients with comminuted intra-articular fracture scapula.