浮肩损伤手术治疗的临床疗效观察

目的:探讨通过手术治疗浮肩损伤的临床疗效。方法:对18例浮肩损伤患者采用切开复位重建钢板内固定治疗,男11例,女7例,平均年龄33(21～56)岁。结果:所有患者均获得随访,随访时间11个月～2年,平均18个月。骨折均获得临床愈合,平均愈合时间12.3(7～16)周。肩关节功能根据Herscovici疗效评价标准,优13例,良4例,可1例,优良率为94.4%。结论:切开复位内固定是治疗浮肩损伤的有效方法,浮肩损伤大多须将两处骨折同时固定,这样可缩短肩关节制动及固定时间,以便于早期进行功能锻炼。

Objective：To investigate the clini- cal effect of operative treatment of floating shoulder. Methods： 19 patients of floating shoulder were treated by open reduction and internal fixation. There were 11 males and 7 females with average age of 33 （ range ,21 - 56） years. Results： All patients were followed up;the mean followup time was 18 （ range, 11 - 24） months. The fractures were clinically healed at 12. 3 （ range, 7 - 13 ） weeks. According Herscovici scores system, 13 patients showed excellent,4 good and 2 fair. Conclusion：Open reduction and internal fixation was effective method for floating shoulder. Because of both the scapula and clavicle being fixed in all cases, recover the anatomical structure and stability around the shoulder joint and shorten the immobilization period of joint, which is beneficial to functional restoration of the joint and decrease of occurrence of complications.