Which scapula fractures should we operate on and what are the functional outcomes?

Aim: In this study we reported the functional results and complications of patients with scapula fractures who underwent open reduction and internal fixation. Methods: The study included 16 patients with scapula fractures who were treated with open reduction and internal fixation(ORIF) between September 2015 and March 2022. Radiologic examination (AP in the scapular plane, lateral and axillary radiography) and computed tomography (CT) scans were performed in all patients. Fractures were classified according to the revised (AO/OTA) classification system. The patients underwent deltopectoral and posterior approaches described by Judet. Functional outcomes were measured using Constant-Murley scores. Results: Ten patients had a scapular neck fracture, or glenoid fossa fracture, five patients had a scapular trunk fracture affecting the glenohumeral joint, and one patient had a scapula process fracture. It was accompanied by clavicle shaft fracture in five patients. The mean follow-up period after injury was 42 months (6-92 months). The mean Constant-Murley score (CMS) for the shoulder with scapula fracture was 93.8 (±8.93). Conclusion: Open reduction and internal fixation of displaced scapular fractures is an effective treatment option in terms of union rate and functional outcome.