Functional outcomes of internal fixation of scapula fractures due to high-velocity gunshot injuries


Tüzün H. Y., ERŞEN Ö., Arsenishvili A., Türkkan S., Kürklü M.

European Journal of Trauma and Emergency Surgery, cilt.48, sa.3, ss.1987-1992, 2022 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 48 Sayı: 3
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1007/s00068-021-01614-2
  • Dergi Adı: European Journal of Trauma and Emergency Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.1987-1992
  • Anahtar Kelimeler: Scapula fracture, Intraarticular fractures, Internal fixation, Gunshot
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background: Open fractures of the scapula are relatively rare and only a few studies are interested in this subject. This study aims to demonstrate the results of internal fixation of open scapula fractures due to gunshot injuries. Materials and methods: Eight patients who had open scapula fractures and were treated by internal fixation through the conventional Judet approach included in this study. Patients were followed up monthly in the first 6 months and every 2 months in the rest of the follow-up. Shoulder range of motion, Constant Shoulder Score, and Disabilities of the Arm, Shoulder, and Hand score were used for functional evaluation. Results: The average follow-up period was 34.6 ± 11.9 months. The average time between injuries and the surgery was 10.5 ± 5.1 days. The average shoulder abduction of the patients was 135.6 ± 18.8°, the average forward flexion of the shoulder was 160 ± 19.2°. The average internal and external rotations of the shoulders were 80 ± 14.1° and 63.1 ± 17.3°, respectively. CSS was calculated as 79.8 ± 14.4, and DASH was calculated as 14.1 ± 14.9. Conclusions: In the treatment of open scapula fractures due to gunshot injuries, an internal fixation is a reliable option and the results were comparable with previous studies.