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SM ISO690:2012 KUSTUROVA, Anna, KUSTUROV, Vladimir. Scapular fractures in polytrauma patients. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 377. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 377-377 | ||||||
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Background. Scapular fractures occur in 1-2% of all closed fractures and 5% of the shoulder girdle. Most of these injuries are diagnosed in polytrauma patients. Objective of the study. Improvement of the treatment of scapular fractures. Material and methods. Analysis of the scapula fractures treatment in 28 polytrauma patients. Examination was done according to the algorithm for „polytrauma”. Fractures of the articular cavity – in 13 patients, were combined with clavicle fractures in 2, multiple body fractures-12, the lower angle-3. Initially, anesthesia and immobilization by Desault bandage were performed. Delayed surgery was indicated for the glenoid cavity fracture and in ineffective conservative treatment. Results. In most patients, respiration stabilized, partial mobility was restored after paravertebral blockade and fixation with Desault bandage. A satisfactory reposition was achieved by a roller in the axilla in 17 patients, in 14 of them immobilization lasted 6 weeks, and a thoracic-brachial bandage was applied with posterior deviation of the shoulder and abduction in 3 cases. In the group II of the patients with intra-articular displacement of the fragments an open reduction and internal fixation was performed by plate - 9, Kirschner wires - 2. Late outcomes of the treatment in all patients were good, there were no complaints, movements in the shoulder joint were restored, and there were no neurovascular disorders. Conclusions. Early immobilization of the shoulder girdle stabilizes fragments of the scapula, clavicle and improves the treatment results in polytrauma patients. Partial access to the scapular neck during the surgery provides sufficient operational space for fixation. |
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Cuvinte-cheie fracture, scapula, fixation, fractură, scapulă, fixare |
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