蒋泽辉,张开华,许春涛,邹智,郑润泉,张贵春,王大伟,邹林

• 1:中国人民解放军联勤保障部队第九六〇医院骨科

摘要(Abstract)：

[目的]探讨切开复位内固定治疗肩关节上方悬吊复合体（superior shoulder suspensory complex, SSSC） 3、4处损伤的临床疗效。[方法]回顾性分析2016年8月—2021年12月本院开放复位内固定治疗的SSSC 3、4处损伤11例患者的临床资料。评价临床及影像资料。[结果]患者均顺利完成手术，无神经、血管损伤等并发症，随访平均（28.9±3.9）个月。随术后1、3个月和末次随访的时间推移，VAS评分[(7.0±1.5),(3.8±1.5),(1.8±1.0), P<0.001],Constant-Murley评分[(26.6±3.2),(40.9±2.9),(54.4±2.9), P<0.001]，肩前屈-上举[(94.3±9.6)°,(127.0±6.4)°,(145.8±6.7)°, P<0.001]，外展-上举[(75.7±6.5)°,(92.8±5.3)°,(115.2±5.9)°, P<0.001]和内-外旋ROM[(14.2±2.3)°,(32.4±3.1)°,(59.5±7.1)°, P<0.001]均显著改善，无感染和骨不连等并发症发生。影像方面，术后AHD无显著变化（P>0.05），所有骨折均骨性愈合。[结论]对于SSSC 3、4处损伤，采用切开复位内固定手术治疗能够恢复SSSC的骨性结构和稳定性，肩关节功能恢复良好，建议作为首选治疗方式。

关键词(KeyWords)： 肩关节上方悬吊复合体;3处损伤;4处损伤;开放复位内固定

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 蒋泽辉,张开华,许春涛,邹智,郑润泉,张贵春,王大伟,邹林

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