钛合金重建钢板结合跟骨钢板治疗浮肩探讨

Treatment of Floating Shoulder Injury with Yitanium Reconstruction Plate and Calcaneal Plate

目的:探讨浮肩损伤的损伤机制、临床特征和治疗方法。方法:回顾分析经手术治疗的8例浮肩损伤患者的临床资料。主要采用钛合金重建钢板联合跟骨钢板内固定手术治疗。结果:7例患者获得随访,随访时间6～34个月。肩胛骨或锁骨骨折全部骨性愈合。根据Herscovici的疗效评价标准,其中优4例,良2例,可1例。术后并发症主要包括三角肌肌力减弱,外展欠佳1例,创伤性关节炎1例。结论:浮肩多为高能量损伤,对其致伤机制及合并伤认识的临床意义重大,手术切开复位行钛合金可塑重建钢板结合跟骨钢板内固定治疗浮肩疗效满意。

Objective： To explore injury mechanism, clinical features and operative treatment of the floating shoulder Injury （FSI）. Methods： A retrospective analysis was done on 8 cases which were treated with titanium reconstructive plate and calcaneal plate with FSI. Results： All FSI of seven cases was followed up and the mean follow up time （rang, 6 to 34 month）. According to Herscovici＇s evaluation, four cases showed excellent results, two good and one fair. The fractures of scapular and clavicle were bone healing.Post-traumatic arthritis was found in 1 case, triangular muscle and shoulder joint abduction weakness in 1 case postoperation. Conclusions： FSI is often caused by direct high-energy violence and has a high incidence of serious associated injuries of which clinical awareness great significance. It is advantageous to treat FSI by open reduction and internal fixation with titanium reconstruction plate and calcaneal plate.