Johnson C A, Healy W L, Brooker A F, Krackow K A
Clin Orthop Relat Res. 1986 Oct(211):219-23.
Shoulder arthrodesis, while providing a useful and predictable solution to many problems associated with glenohumeral degeneration, has been less than desirable for many patients due to the frequent need for postoperative spica cast or airplane splint immobilization. A new technique of external fixation of shoulder fusions has been developed that provides many advantages, including strong, reliable fixation, obviating the need for bulky casts or splints, and immediate postoperative use of the involved arm. This technique of shoulder arthrodesis using the Hoffman external fixation device has been used on four patients, with a follow-up period of 30-36 months. The series includes patients with infected arthroplasty, osteoarthritis, tumor, and previous failed arthrodesis. Bony union was obtained in six to 10 weeks, and the external fixation frame was left in place seven to 14 weeks. In each case, the external fixation frame enabled the patient to use the involved arm immediately after operation.
肩关节融合术虽然为许多与盂肱关节退变相关的问题提供了一种有效且可预测的解决方案，但由于术后频繁需要使用石膏背心或飞机夹板固定，对许多患者来说并不理想。一种用于肩关节融合术的新型外固定技术已经研发出来，该技术具有诸多优点，包括坚固、可靠的固定，无需笨重的石膏或夹板，以及术后可立即使用患侧手臂。这种使用霍夫曼外固定装置的肩关节融合术技术已应用于4例患者，随访期为30至36个月。该系列患者包括感染性关节成形术、骨关节炎、肿瘤以及既往肩关节融合术失败的患者。在6至10周时实现了骨愈合，外固定架留置7至14周。在每种情况下，外固定架都使患者能够在术后立即使用患侧手臂。
