Surgical treatment and construction for traumatic floating shoulder
10.3969/j.issn.1003-0034.2016.01.018
- VernacularTitle:创伤性浮肩的手术治疗与重建
- Author:
Feng Li ZHAI
1
;
Hua XU
;
Min Yi CHEN
;
Wei Da BI
Author Information
1. 浙江省立同德医院骨科
- Keywords:
Wounds and injuries;
Shoulder joints;
Surgical pricedures,operative
- From:
China Journal of Orthopaedics and Traumatology
2016;(1):79-81
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore surgical therapeutic strategies and clinical effects for floating shoulder injury. Methods:From March 2010 to December 2013,12 patients with floating shoulder injury were treated by open reduction and plate screw fixation,including 10 males and 2 females aged from 22 to 45 years old with an average of 31.7 years old. Preoperative X ray and CT showed 11 cases were ipsilateral clavicle fracture with scapular neck fractures ,1 case was scapular neck fracture with ipsilateral acromioclavicular dislocation. Postoperative complications were observed and Herscvici functional scoring were used to evaluate clinical effects. Results:Twelve patients were followed up from 8 to 26 months(averaged 15 months). All patients ob-tained bone union,and no inflammation,loosening and breakage of plate and screw were found. According to Herscvici scoring ,9 cases got excellent results,2 good and 1 moderate. Conclusion:Reconstruction of anatomical structure and stability of floating shoulder joint injury could shorten time of shoulder joint brake and fixation ,then got excellent clinical outcomes.
