Open reduction of proximal scapula fractures
That is, the soft tissue of the fracture is surgically cut, the fracture segment is exposed, and the fracture is reset under direct vision, which is called an open reduction. Since most fractures can be treated with manual reduction, open reduction is only performed under certain conditions. Treatment of diseases: scapular fractures Indication Cut the indication of the reset. 1. There is a soft tissue embedded in the muscle or tendon between the fracture ends, and the method of resetting fails; 2, intra-articular fractures, poor positioning after manual reduction, will affect the joint function; 3, the manual reset failed to reach the standard of functional reset, which will seriously affect the function of the affected limb; 4, fractures with major blood vessels, nerve damage, repair of blood vessels, nerves, and should be fractured open reduction; 5, multiple fractures, in order to facilitate care and treatment, to prevent complications, you can choose the appropriate site for open reduction. Contraindications 1, with systemic diseases, can not tolerate surgery. 2, local infection, not suitable for surgery. Preoperative preparation Regular use of antibiotics to prevent infection. Surgical procedure Correction and reduction of the fracture end were performed; and depending on the fracture, various internal fixations were selected to maintain the position after the reduction. complication Open reduction will inevitably cause adhesion between soft tissues or soft tissues and bones, such as adhesions, especially adhesions near the joints, which will affect the recovery of joint function.
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