摘要
目的探讨浮肩损伤（vsi）手术内固定治疗的临床疗效。方法回顾分析自2003年8月～2010年10月收治的经手术治疗的37例浮肩损伤的临床资料；再取7例包含肩胛上悬吊复合体（SSSC）的左侧上肢标本，制成损伤模型，并对正常组、损伤组、固定组3种状态标本的稳定性进行分析研究。结果本组获随访3～50个月，平均16个月。根据Rowe的疗效评价标准：优28例．良7例，差2例，优良率94．6％；实验表明，所有测试标本的固定状态在不同方向的活动范围（ROM）均值都明显小于损伤状态（P〈0．05），但仍大于正常状态（P〈O．05）。结论对同侧锁骨伴肩胛颈骨折的浮肩损伤，需行切开复位内固定，再辅以早期适当功能锻炼，可获得比较满意的疗效。
Objective To investigate the clinical effects of surgical internal fixation of floating shoulder injury （FSI）. Methods Thirty seven patients with floating shoulder injury from August 2003 to October 2010 were reviewed, who underwent surgical treatments. The SSSC were anatomied from 7 cases of left upper limb antisepsis specimens. In the man-made damage models, 3 status were tested： the nolanal group, injury group, fixed group. The stability of the SSSC was compared among different groups. Results All patients were followed up for 3 to 50 months, 16 months on average. According to the curative effect of Rowe evaluation criteria, there were good resuhs for 28 cases, fine for 7 cases and bad for 2 cases, the excellent and good rate was 94.6%. Experimental research showed that the range of motion （ROM） of fixed status of all testing specimens in different direction were significantly less than danmage status （P 〈0.05）, but still more than normal status （P 〈0.05）. Conclusion The floating shoulder injury, ipsilateral clavicle and scapula neck fi＇actures need open reduction internal fixation, and complement with early functional exercise properly, which can obtain satisfactory curative effect.
出处
《中国骨与关节损伤杂志》
2011年第11期980-982,共3页
Chinese Journal of Bone and Joint Injury
关键词
浮肩损伤
内固定
生物力学
Floating shoulder injury
Internal fixation
Biomechanics
