Functional Outcome of Internal Fixation of Extra-Articular Scapular Fracture: A Systematic Review/ Meta-Analysis

Abdelsalam, Abdelsalam Eid; Elhewala, Tarek AbdElsamad; Elgendy, Ahmed Elsayed Ibrahim Ali; Kotb, Mohamed Ismail Abd El Rhman

doi:10.21608/ejhm.2023.296207

Functional Outcome of Internal Fixation of Extra-Articular Scapular Fracture: A Systematic Review/ Meta-Analysis

Document Type : Original Article

Authors

10.21608/ejhm.2023.296207

Abstract

Background: Scapular fractures are a rare upper extremity injury brought on mostly by high-energy trauma. The bulk of these fractures are extra-articular. Un-displaced fractures can be successfully treated with conservative measures. However, displaced fractures do not produce excellent outcomes and require surgical intervention.
Objective: The aim of the current study was to perform a review of literatures and meta-analysis on the function results of treating extra-articular scapular fractures.
Material and methods: A meta-analysis study was conducted in the Orthopedics Surgery Department, Faculty of Medicine, Zagazig University. To find relevant literatures published between 2004 until 2019, a computerized search was conducted in the PubMed, MedLine, Cochrane Library (Cochrane Systematic Reviews and Cochrane Bone, Joint and Muscle Trauma Group), Embase, Science Direct, Scopus, CNKI, and Google Scholar are just a few of the databases that are available. A search included the single keyword or in combination: "extra-articular scapula fracture internal fixation". We searched for non-randomized clinical trials (CTs), as well as prospective and retrospective investigations, randomized CTs, and studies reviewing the functional results of extra-articular scapula fracture fixation.
Results: The results indicated that man DASH prior to procedure was 17.9, which decreased to 9.3 post operation, mean constant score was 77.6 pre-operation and increased to 89.1 post operation. As regard ROM mean for forward flexion was 151.4, mean abduction was 123.4, mean external rotation was 60.1 and mean internal rotation was 23.2. Conclusion: Scapular body fractures treated with internal fixation have a high rate of success for union and shoulder function.

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