中国骨伤Issue(1):79-81,3.DOI:10.3969/j.issn.1003-0034.2016.01.018
创伤性浮肩的手术治疗与重建
Surgical treatment and construction for traumatic floating shoulder
翟利锋 1许桦 1陈亿民 2毕大卫2
作者信息
- 1. 浙江省立同德医院骨科,浙江 杭州 310012
- 2. 萧山区第一人民医院骨科,浙江 杭州 311201
- 折叠
摘要
Abstract
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 ob-tained bone union,and no inflammation,loosening and breakage of plate and screw were found. According to Herscvici scoring ,9 cases 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.关键词
创伤和损伤/肩关节/外科手术Key words
Wounds and injuries/Shoulder joints/Surgical pricedures,operative引用本文复制引用
翟利锋,许桦,陈亿民,毕大卫..创伤性浮肩的手术治疗与重建[J].中国骨伤,2016,(1):79-81,3.