摘要
目的 :探讨浮肩损伤的外科治疗策略及临床效果。方法 :自2010年3月至2013年12月,采用切开复位钢板螺钉内固定治疗12例浮肩患者,其中男10例,女2例;年龄22~45岁,平均31.7岁。术前X线及二三维CT提示11例为同侧锁骨骨折并肩胛颈骨折,1例为肩胛颈骨折合并同侧肩锁关节脱位。观察其术后并发症,并采用Herscvici功能评价标准进行疗效评价。结果:12例患者均获得随访,时间8~26个月,平均15个月。患者均获得骨性愈合,术后无感染、钢板及螺钉松动和断裂发生。根据Herscvici等功能评价标准,肩关节功能恢复优9例,良2例,可1例。结论:外科治疗重建浮肩患者肩关节及周边的解剖结构和稳定性,可以缩短肩关节制动及固定时间,取得满意疗效。
Objective:To explore surgical therapeutic strategies and clinical effects for floating shoulder injury. Methods:From March 2010 to December 2013,12 patients with floating shoulder injury were treated by open reduction and plate screw fixation,including 10 males and 2 females aged from 22 to 45 years old with an average of 31.7 years old. Preoperative X ray and CT showed 11 cases were ipsilateral clavicle fracture with scapular neck fractures,1 case was scapular neck fracture with ipsilateral acromioclavicular dislocation. Postoperative complications were observed and Herscvici functional scoring were used to evaluate clinical effects. Results:Twelve patients were followed up from 8 to 26 months(averaged 15 months). All patients obtained bone union,and no inflammation,loosening and breakage of plate and screw were found. According to Herscvici scoring,9cases got excellent results,2 good and 1 moderate. Conclusion:Reconstruction of anatomical structure and stability of floating shoulder joint injury could shorten time of shoulder joint brake and fixation,then got excellent clinical outcomes.
引文
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