Richards R R, Sherman R M, Hudson A R, Waddell J P
Department of Surgery, St. Michael's Hospital, Toronto, Ontario, Canada.
J Bone Joint Surg Am. 1988 Mar;70(3):416-21.
Eleven adults who had a flail shoulder due to brachial plexus palsy had arthrodesis of the shoulder using a single ten-hole pelvic-reconstruction plate. Both the glenohumeral and the acromiohumeral joints were fused with the shoulder in the position of 30 degrees of abduction, 30 degrees of flexion, and 30 degrees of internal rotation. No bone graft was used. The patients were immobilized in a spica cast for six weeks postoperatively. At an average follow-up of twenty-five months after the operation, the position of the arthrodesis had been maintained and solid fusion had occurred in each shoulder. No patient required removal of the plate. The pelvic-reconstruction plate is malleable and is more easily contoured in the operating room than a dynamic-compression plate. We recommend the use of a malleable pelvic-reconstruction plate when performing arthrodesis of the shoulder.
11名因臂丛神经麻痹导致连枷肩的成年人接受了使用单孔骨盆重建钢板的肩关节融合术。肩肱关节和肩峰肱关节均在肩关节外展30度、屈曲30度和内旋30度的位置融合。未使用骨移植。患者术后用髋人字石膏固定6周。术后平均随访25个月时，每个肩关节的融合位置均得以维持且已实现牢固融合。没有患者需要取出钢板。骨盆重建钢板具有可锻性，在手术室比动力加压钢板更容易塑形。我们建议在进行肩关节融合术时使用可锻性骨盆重建钢板。
