Outcomes of open reduction and internal fixation in displaced intra-articular scapular fractures : a case series


Published online: Mar 27 2017

Marij Zahid, Rizwan Haroon Rashid, Hina Inam, Akbar Jaleel Zubairi, Naveed Baloch, Pervaiz Mahmood Hashmi

From the Aga Khan University Hospital, Karachi, Pakistan

Abstract

Scapular fractures are rare injuries and usually occur due to high energy trauma. Displaced Intra articular fractures usu-ally require operative treatment and yields better outcomes as compared to conservative management. To assess the functional and radiological outcomes of displaced intra-articular scapular fractures managed with open re-duction and internal fixation. 12 patients were retrospectively reviewed and included in the study. Post-operative functional outcomes were assessed using mean quick DASH (Disability of arm, hand and shoulder) score while radiological outcomes were analyzed as percentage of implant cut-through, mal-union, non-union or infection. The mean follow up was 14 months. Mean age was 40 years. The mean quick DASH score was 7.19 +/- 4.86. All of the pa-tients had successful clinical and radiological healing and pain-free movements. Open reduction and internal fixation in displaced intra-articular scapular-fractures yields excellent and promising out-comes.