Mesh Plates for Scapula Fixation

Abstract

While scapula fractures are often treated nonoperatively, there are a number of displaced fractures in which surgical treatment can be considered. When necessary, open reduction and internal fixation with plates is the accepted method for stabilization. However, there are limited options of commercially available plates for fixation of the scapula. The authors describe 2 cases of scapula fracture and 1 scapula osteotomy that were managed with internal fixation using low-profile mesh plates. The mesh plate is a stainless steel lattice that can be molded and trimmed to create a plate that matches the unusual 3-dimensional anatomy of the scapula. It accepts 2.4/2.7 mm cortical and variable angle locking screws which can be varied up to 15 degrees. We present our experience managing these complex cases, and how the use of the mesh plates facilitated the procedure. No complications were recorded and at final follow-up patients regained satisfactory shoulder function