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The Journal of Bone and Joint Surgery, Vol 75, Issue 7 1015-1018, Copyright © 1993 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Open reduction and internal fixation of ipsilateral fractures of the scapular neck and clavicle

KS Leung and TP Lam
Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Shatin, N.T., Hong Kong.

Ipsilateral fractures of the scapular neck and clavicle disrupt the suspensory mechanism of the shoulder, resulting in functional loss and deformity. Fifteen patients who had such fractures were managed with open reduction and internal fixation and were followed for an average of twenty-five months (range, fourteen to forty-seven months). All but one patient had a good or excellent functional result according to the scoring system of Rowe. All fractures healed at an average of eight weeks postoperatively. Complications from concomitant fractures of the ribs were treated uneventfully. We concluded that operative treatment of these complex fractures is safe and yields predictably good results.
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