vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2024.6.CASE.2vmireaviz-1077Research ArticleКлинический случайClinical caseХирургическое лечение пациентов с оскольчатыми переломами лопатки (серия клинических наблюдений)Surgical treatment of a patient with a comminuted fracture of the scapula (clinical observations)https://orcid.org/0000-0002-4130-1307ПрохоровА. А.ProkhorovA. A.

Прохоров Андрей Алексеевич, Аспирант факультета фундаментальной медицины; врач травматологортопед 

Ленинские горы, д. 1, г. Москва, 119991;ул. Волынская, д. 7, г. Москва, 119620

Andrey A. Prokhorov, Postgraduate student, Faculty of Fundamental Medicine; traumatologist-orthopedist 

1, Leninskie Gory, Moscow, 119991;7, Volynskaya St., Moscow, 119620

dr.prohorov.aa@yandex.ruhttps://orcid.org/0000-0002-5667-5184НовиковС. В.NovikovS. V.

Новиков Сергей Викторович, Канд. мед. наук, заведующий отделением травматологии 

ул. Волынская, д. 7, г. Москва, 119620

Sergey V. Novikov, Cand. Sci. (Med.), Head of the Traumatology Department 

7, Volynskaya St., Moscow, 119620

nadin-79@bk.ruhttps://orcid.org/0000-0003-3526-7496КарчебныйН. Н.KarchebnyyN. N.

Карчебный Николай Николаевич, Канд. мед. наук, заведующий отделением неотложной травматологии и ортопедии КДЦ АТИО 

ул. Волынская, д. 7, г. Москва, 119620

Nikolay N. Karchebnyy, Cand. Sci. (Med.), Head of the Department of Emergency Traumatology and Orthopedics, Clinical Diagnostic Center of the Atrioventricular and Orthopedic Surgery Center 

7, Volynskaya St., Moscow, 119620

karchebynn@mail.ruhttps://orcid.org/0000-0002-2002-5091МироновА. Н.MironovA. N.

Миронов Андрей Николаевич, Заведующий отделением травматологии 

ул. Лобачевского, д. 42, г. Москва, 119415

Andrey N. Mironov, Head of the Traumatology Department 

42, Lobachevsky St., Moscow, 119415

dr.mironov.andrey@gmail.comhttps://orcid.org/0000-0003-4686-7892ПанинМ. А.PaninM. A.

Панин Михаил Александрович, Канд. мед. наук, врач травматолог-ортопед отделения ортопедии; доцент кафедры травматологии и ортопедии 

ул. Волынская, д. 7, г. Москва, 119620;ул. Миклухо-Маклая, д. 6, г. Москва, 117198

Mikhail A. Panin, Cand. Sci. (Med.), traumatologist-orthopedist, Department of Orthopedics; Associate Professor, Department of Traumatology and Orthopedics 

7, Volynskaya St., Moscow, 119620;6, Miklukho-Maclay St., Moscow, 117198

panin-mihail@yandex.ruhttps://orcid.org/0000-0001-8837-0265ПетросянА. С.PetrosyanA. S.

Петросян Арменак Серёжаевич, Канд. мед. наук, заведующий отделением ортопедии 

ул. Волынская, д. 7, г. Москва, 119620

Armenak S. Petrosyan, Cand. Sci. (Med.), Head of the Orthopedics Department 

7, Volynskaya St., Moscow, 119620

armenak.p@gmail.comhttps://orcid.org/0000-0001-5407-0432ДубровВ. Э.DubrovV. E.

Дубров Вадим Эрикович, Д-р мед. наук, профессор, заведующий кафедрой общей и специализированной хирургии 

Ленинские горы, д. 1, г. Москва, 119991

Vadim E. Dubrov, Dr. Sci. (Med.), Professor, Head of the Department of General and Specialized Surgery 

1, Leninskie Gory, Moscow, 119991

vduort@gmail.comМосковский государственный университет имени М.В. Ломоносова; Городская клиническая больница № 17РоссияLomonosov Moscow State University; City Clinical Hospital No. 17Russian FederationГородская клиническая больница № 17РоссияCity Clinical Hospital No. 17Russian FederationГородская клиническая больница № 31РоссияCity Clinical Hospital No. 31Russian FederationГородская клиническая больница № 17; Российский университет дружбы народов имени Патриса ЛумумбыРоссияCity Clinical Hospital No. 17; Peoples' Friendship University of Russia named after Patrice LumumbaRussian FederationМосковский государственный университет имени М.В. ЛомоносоваРоссияLomonosov Moscow State UniversityRussian Federation202430122024146109116Copyright © Прохоров А.А., Новиков С.В., Карчебный Н.Н., Миронов А.Н., Панин М.А., Петросян А.С., Дубров В.Э., 20252025Прохоров А.А., Новиков С.В., Карчебный Н.Н., Миронов А.Н., Панин М.А., Петросян А.С., Дубров В.Э.Prokhorov A.A., Novikov S.V., Karchebnyy N.N., Mironov A.N., Panin M.A., Petrosyan A.S., Dubrov V.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/1077

Введение. Многооскольчатый перелом лопатки со смещением костных отломков может стать причиной развития выраженной посттравматической деформации со стойкой утратой функции верхней конечности. Цель — продемонстрировать эффективность хирургического лечения трёх пациентов с различными переломами лопатки. Материалы и методы. Выполнен анализ оперативного лечения трёх пациентов трудоспособного возраста с оскольчатыми переломами лопатки с сомнительным прогнозом восстановления функции верхней конечности в случае выбора консервативной тактики лечения. После предварительного анализа данных компьютерной томографии определён протокол оперативной техники и выбор имплантатов. Оперативное лечение осуществлено в раннем посттравматическом периоде. Ранний послеоперационный период протекал во всех случаях без особенностей и без осложнений. Срок наблюдения после операции составил от 6 недель до 6 месяцев. Результаты. Во всех трёх наблюдениях отмечена рентгенологическая консолидация переломов, возврат функции верхней конечности в срок от 6 до 12 недель после операции. Медиана по опроснику DASH составила 11,7 баллов. Заключение. По результатам предлагаемых наблюдений представляется целесообразной оценка положительного клинического, функционального (полный возврат функции верхней конечности) и рентгенологического результата (стабильная фиксация, процесс консолидации переломов) несмотря на тяжёлую травму лопатки, часто приводящую к стойкой утрате работоспособности и значительно ограничивающую нормальную повседневную активность.

Introduction. A comminuted fracture of the scapula with displacement of bone fragments can cause the development of severe post-traumatic deformation with persistent loss of function of the upper limb. Objective – to present the results of surgical treatment of three patients with various fractures of the scapula. Materials and methods. The analysis of surgical treatment of 3 patients of working age with comminuted fractures of the scapula with a dubious prognosis for the restoration of the function of the upper limb in the case of choosing a conservative treatment strategy was performed. After a preliminary analysis of the computed tomography data, the surgical technique protocol and the choice of implants were determined. Surgical treatment was carried out in the early post-traumatic period. The early postoperative period was uneventful and without complications in all cases. The follow-up period after surgery ranged from 6 weeks to 6 months. Results. In all 3 cases, X-ray consolidation of fractures was noted, the return of the full function of the upper limb. The median on the DASH questionnaire was 11.7 points. Conclusion. Based on the results of the proposed observations, it seems appropriate to evaluate the positive clinical, functional (complete recovery of the function of the upper limb) and radiological results (stable fixation, the process of fracture consolidation), despite a severe injury to the scapula, often leading to a permanent loss of working capacity and significantly limiting normal daily activities.

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The authors declare that there are no conflicts of interest present.