J Korean Fract Soc.
2006 Jan;19(1):46-50. 10.12671/jkfs.2006.19.1.46.
Clinical and Functional Result after Internal Fixation of Severely Displaced Floating Shoulder
- Affiliations
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- 1Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. jkh2007@uuh.ulsan.kr
- 2Department of Orthopedic Surgery, Daegu Catholic Medical University, Daegu, Korea.
- 3Department of Orthopedic Surgery, Ewha Medical University, Seoul, Korea.
- 4Department of Orthopedic Surgery, Youngnam Medical University, Gyeongsan, Korea.
- 5Department of Orthopedic Surgery, Kyung-buk Medical University, Daegu, Korea.
- KMID: 2063822
- DOI: http://doi.org/10.12671/jkfs.2006.19.1.46
Abstract
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PURPOSE: To evaluate the follow-up result of 11 cases that were operated with internal fixation of scapular neck and internal fixation of clavicle or acromioclavicular dislocation for severely displaced floating shoulder which was high energy injury and unstable.
MATERIALS AND METHODS
We examined the scapular neck fracture with clavicle fracture or acromioclavicular joint dislocation by multidisciplinary research from August 1997 to July 2004. The scapular neck fractures were operated in the case of translational displacement of more than 25 mm and angular displacement of more than 45 degrees with 3.5 mm reconstruction plate fixation and internal fixation for clavicle fracture or acromioclavicular joint perpormed simultaneously. And we evaluated 11 cases that can be followed up for more than 9 months.
RESULTS
We achieved bony union in all cases. In ASES functional score, we got average 89.2 (75~95) points. In Rowe functional score, we got average 89.1 (75~100) points. In complication, there was external rotation weakness in 1 case.
CONCLUSION
In severely displaced floating shoulder due to high energy injury, we got good clinical and functional result after internal fixation for scapular neck and clavicle or acromioclavicular joint.
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