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中文摘要：
目的：探讨浮肩损伤的特点和手术治疗策略.方法：2006年1月至2012年1月收治的浮肩损伤患者26例,男15例,女11例;年龄22~60岁,平均35.2岁.按Wong的分型：ⅠA型3例,ⅠB型9例;Ⅱ型4例;ⅢA型6例,ⅢB型4例.26例患者均接受手术治疗,通过X线片观察术后骨折复位及损伤修复情况、骨折愈合情况及内固定牢固程度,并定期按Constant评分和Herscovici疗效评价标准对肩关节功能进行评估.结果：26例患者均获得16.8个月（12～24个月）随访,骨折全部愈合,平均愈合时间为2.4个月.随访结果：Constant评分平均89.4分（60～100分）;Herscovici疗效评价标准,优15例,良8例,可3例,优良率达88.5%.结论：切开复位内固定是治疗浮肩损伤的有效方法,但应根据骨折类型及移位程度选择复位顺序与固定方法.
英文摘要：
Objective ：To discuss the clinical characteristics and the surgical treatment strategy of the floating shoulder injury. Methods： 26 cases with the floating shoulder injury between January 2006 and January 2012 were retrospectively evaluated. There were 15 males and 11 females with an average age of 35.2 （ 22 - 60） years. According to Wong＇ s classification of floating shoulder injury ： type I A, 3 cases ; type I B, 9 cases; type I1 , 4 cases; type HI A, 6 cases; type m B, 4 cases. All the 26 cases had ac- cepted the surgical treatment. We observed the postoperative fracture reduction, damage repair, fracture healing and internal fixation through the X-ray films. We also evaluated the shoulder function regularly according to the Constant scores and Herscovici evaluation criteria. Results： The 26 cases were followed up for an average of 16.8 （12 -24） months. All the fractures healed for a mean time of 2.4 months, the mean Constant score was 89.4 （60 - 100）. The effect of Herscovici evaluation criteria： excellent, 15 ca- ses; good, 8 cases; fair, 3 cases; the excellent rate 88.5%. Conclusion： Open reduction and internal fixation is an effective method for the treatment of floating shoulder injury, but we should select the reset sequence and fixation methods according to the type of fracture and degree of displacement.
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