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- W3012381512 abstract "To investigate the effectiveness of open reduction and internal fixation for multiple injuries of superior shoulder suspensory complex (SSSC) with coracoid process fracture.Between January 2014 and October 2018, 22 patients with multiple injuries of SSSC with coracoid process fracture were treated by open reduction and internal fixation. There were 16 males and 6 females, aged from 24 to 72 years with an average age of 36.6 years. There were 10 cases of falling injury, 5 cases of traffic accident injury, and 7 cases of falling from height injury. All of them were fresh closed injuries. The time from injury to operation ranged from 2 to 17 days with an average of 6.9 days. Both X-ray film and CT showed the coracoid process fracture complicated with clavicular fracture in 14 cases, acromioclavicular joint dislocation in 12 cases, and acromioclavicular fracture in 5 cases. There were 14 cases of two places of SSSC, 7 cases of three places of SSSC, and 1 case of four places of SSSC.All incisions healed in primary stage after operation. All patients were followed up 10-24 months with an average of 14.1 months. X-ray films showed that all fractures healed and the acromioclavicular joint was normal. The healing time ranged from 6 to 12 months, with an average of 6.2 months. No complications such as internal fixation failure and nonunion occurred. According to University of California Los Angeles (UCLA) shoulder scoring system, the shoulder joint function was rated as excellent in 15 cases, good in 5 cases, and poor in 2 cases at last follow-up. The excellent and good rate was 90.9%.Open reduction and internal fixation for treatment of multiple injuries of SSSC with coracoid process fracture is firm and reliable. Combined with active postoperative rehabilitation program intervention, it can accelerate the recovery of shoulder joint function and achieve satisfactory effectiveness.探讨切开复位内固定治疗合并喙突骨折的上肩胛悬吊复合体(superior shoulder suspensory complex,SSSC)多重损伤的疗效。.2014 年 1 月—2018 年 10 月,采用切开复位内固定治疗 22 例合并喙突骨折的 SSSC 多重损伤患者。男 16 例,女 6 例;年龄 24~72 岁,平均 36.6 岁。致伤原因:摔伤 10 例,交通事故伤 5 例,高处坠落伤 7 例。均为新鲜闭合损伤。受伤至手术时间 2~17 d,平均 6.9 d。X 线片及 CT 示喙突骨折合并锁骨骨折 14 例、肩锁关节脱位 12 例、肩峰骨折 5 例,其中 SSSC 2 处损伤 14 例、3 处损伤 7 例、4 处损伤 1 例。.术后患者切口均Ⅰ期愈合。患者均获随访,随访时间 10~24 个月,平均 14.1 个月。X 线片示骨折均愈合,愈合时间 6~12 个月,平均 6.2 个月;肩锁关节位置正常,未出现内固定失效、骨不连等并发症。末次随访时,根据美国加州大学洛杉矶分校(UCLA)肩关节评分系统,获优 15 例,良 5 例,差 2 例,优良率 90.9%。.切开复位内固定治疗合并喙突骨折的 SSSC 多重损伤固定牢靠,配合术后积极康复,可以加速肩关节功能恢复,取得满意治疗效果。." @default.
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- W3012381512 date "2020-03-15" @default.
- W3012381512 modified "2023-09-26" @default.
- W3012381512 title "[Open reduction and internal fixation for multiple injuries of superior shoulder suspensory complex with coracoid process fracture]." @default.
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- W3012381512 doi "https://doi.org/10.7507/1002-1892.201908098" @default.
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