采用 IIIB 型开放性肩部损伤的矫形外科方法成功保肢：3 例报告。
Successful Limb Salvage Using an Orthoplastic Approach of Type IIIB Open Injuries of the Shoulder: A Report of 3 Cases.
机构信息
Department of Orthopaedics, Ganga Medical Center and Hospitals Pvt Ltd, Coimbatore, Tamil Nadu, India.
Department of Plastic and Microreconstructive Surgery, Ganga Medical Center and Hospitals Pvt Ltd, Coimbatore, Tamil Nadu, India.
出版信息
JBJS Case Connect. 2021 Jun 24;11(2):01709767-202106000-00130. doi: e20.00664.
CASE
We report 3 adult men (aged 28, 34, and 71 years) with successfully salvaged mangled injuries around the shoulder with high threshold for amputation. Assessment by Mangled Extremity Severity Score, Ganga Hospital Open Injury Severity Score, and Orthopaedic Trauma Association-Open Fracture Classification open injury scores predicted amputation. However, extended salvage was performed by orthoplastic approach. Two of them had superior shoulder suspensory complex (SSSC) injury. The QuickDASH score was high in 2 patients with SSSC injury and a good score in the third patient who achieved good shoulder motion.
CONCLUSION
"Orthoplastic approach" achieves successful limb salvage in severely mangled shoulder injuries. Volume of muscle crush injury and double disruption of SSSC injury were the main determinants of outcome.
病例报告
我们报告了 3 例成年男性（年龄分别为 28 岁、34 岁和 71 岁），他们的肩部严重创伤，高截肢阈值，但成功挽救了肢体。Mangled Extremity Severity Score、Ganga Hospital Open Injury Severity Score 和 Orthopaedic Trauma Association-Open Fracture Classification open injury scores 评估预测了截肢。然而，通过矫形外科方法进行了延长挽救。其中 2 例有高级肩部悬带复合体（SSSC）损伤。2 例有 SSSC 损伤的患者的 QuickDASH 评分较高，而第 3 例患者的肩部运动良好，评分也较好。
结论
“矫形外科方法”成功挽救了严重创伤的肩部肢体。肌肉挤压伤的体积和 SSSC 损伤的双重破坏是决定结果的主要因素。
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