title: [Operative treatment of the scapular fractures through modified Judet approach].
abstract: OBJECTIVE
  To investigate the effect of operative treatment of scapular fractures through modified Judet approach.
  
  
  METHODS
  From January 1997 to October 2005, 21 patients (15 females, 6 males; mean age 34 years) of scapular fractures were treated by open reduction and internal fixation through the modified Judet approach. According to Hardegger classification system, there were 11 patients of scapular body fractures, 10 patients of scapular neck fractures, 8 patients of glenoid rim fractures, 7 patients of glenoid fossa fractures, 9 patients of scapular spine fractures, and 6 patients of scapular acromion fractures.
  
  
  RESULTS
  Eighteen patients were followed up with an average of 21 months (range 6 months-4 years). According to Rowe scores system, 12 patients showed excellent, 3 showed good, 2 showed fair, and 1 showed poor.
  
  
  CONCLUSIONS
  The modified Judet approaches have the advantages of wide exploration, safety, and easy fixation. It is a good choice to the operation for most types of scapular fractures through the modified Judet approach.
authors.affiliation: Department of Orthopedic Trauma, Shandong Provincial Hospital, Jinan 250021, China.
authors.forename: Dong-sheng
authors.initials: DS
authors.lastname: Zhou
authors.forename: Lian-xin
authors.initials: LX
authors.lastname: Li
authors.forename: Lu-bo
authors.initials: LB
authors.lastname: Wang
authors.forename: Bo-min
authors.initials: BM
authors.lastname: Wang
authors.forename: Shi-hong
authors.initials: SH
authors.lastname: Xu
authors.forename: Wei-dong
authors.initials: WD
authors.lastname: Mu
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012540:Scapula / Q000293:injuries*; D016896:Treatment Outcome