摘要
目的 探讨开放性手术内固定对不稳定性浮肩损伤的治疗疗效.方法 自2006年5月至2011年8月,对每例不稳定浮肩患者作个性化分析,评估伤情、手术入路及骨折、脱位固定器材类型、数量、模拟固定位置等,采用手术内固定方法治疗不稳定浮肩15 例,其中男11 例,女4 例,年龄23～65 岁,平均37.5 岁.结果 除1 例外地民工患者无法随访外,余14 例患者均获随访,随访时间10～28个月,平均13个月.骨折完全愈合,未出现骨折移位、钢板断裂、断钉及其他手术并发症.按Herssovici肩关节功能评定标准进行评价,优5 例,良7 例,可2 例,优良率为85.7%.结论 通过开放手术内固定修复固定受损的肩胛上悬吊复合体结构,术后配合功能活动,对不稳定性浮肩损伤多能取得较满意的中、远期临床效果.
Objective To explore the open reduction and internal fixation for the treatment of unstable floating shoulder injury. Methods ：from May 2006 to August 2011, all the cases of unstable floating shoulder were personally analyzed. Open reducaiton and internal fixation underwent in 15 cases. Methods from May 2006 to August 2011, for each paper, personaliza- tion of patients with unstable floating shoulder injury, surgical approach and fracture, dislocation, fixed equipment type, quanti- ty, simulation, a fixed position etc, using surgical internal fixation method for treatment of unstable floating shoulder 15 cases. Results 14 patients were followed up. The follow - up period was 10 -28 months, with an average of 13 months. All the frac- ture got bone union, and there is no fracture displacement, plate rupture or other complications. According to Herssovici shoul- der joint assessment standard,there were excellent in 5 cases, good in 7 cases, fair in 2 cases, the good to excellent rate was 85.7%. Conclusion Open reduation and internal fixation and repair the damaged suspension complex structure of scapula, postoperative functional recovery for unstable floating shoulder injury patient can achieve more satisfactory,long -term clinical outcome
出处
《实用骨科杂志》
2013年第9期777-779,共3页
Journal of Practical Orthopaedics
关键词
浮肩
肩胛骨
骨折
内固定
floating shoulder
scapula
internal fixation
