手术治疗浮肩损伤的疗效

Clinical Efficacy of Surgical Treatment of Floating Shoulder Injury

目的探讨手术治疗浮肩损伤的临床疗效。方法对19例浮肩损伤患者采用手术治疗，观察其疗效。结果16例患者术后获得随访，随访时间12～15个月，平均13．1个月。13例患者惠肩无痛，3例患者述肩关节活动时轻微疼痛，VAS评分0～2分，平均0．19分。根据随访时X线片结果，所有骨折在4个月内达骨性愈合。其中2例发现创伤性关节炎。1例腋神经损伤患者于伤后10月恢复。根据Herscovici等的肩关节功能评价标准：优9例，良4例，可3例，优良率81．3％（13／16）。结论FSI采取切开复位内固定治疗，利于早期功能锻炼，减少创伤性关节炎等并发症的发生，同时有利于合并伤的诊治和护理，是一种有效的治疗方法。

Objective To investigate the clinical efficacy of surgical treatment of floating shoulder injury. Methods Surgical procedures were performed in 19 patients with floating shoulder injury to observe the efficacy of surgical treatment of float- ing shoulder injury. Results 16 of 19 patients were followed up. The follow-up periods were 12 - 15 months,with an average of 13. 1 months. 13 cases had no pain of the injured shoulder,3 cases complained slight pain when shoulder joint moving. The visual analogue scale score was 0 - 2, with an average of 0. 19. According to the results of X films, fracture reductioin was satisfactory and fractures healed in 4 months. Traumatic arthritis was seen in 2 cases. One patient with axillary nerve injury was recovered after 10 months. According to Herscovici shoulder functional score, the results were excellent in 9 cases, good in 4 cases and fair in 3 cases, with the excellent and good results of 81.3% （13/16）. Conclusion Open reduction and internal fixation for the treatment of floating shoulder injury is beneficial for shoulder＇s exercises earlier,reducing the incidence of traumatic arthritis and propitious to treatment and care of associated injuries.