Makin M
J Bone Joint Surg Am. 1977 Apr;59(3):317-21.
In seven children, five to nine years old, with a flail shoulder and a functional hand and elbow, arthrodesis of the shoulder in 80 to 90 degrees of abduction was performed by denuding the humeral head and glenoid of cartilage and fixing the humerus to the glenoid with Steinmann pins first inserted in the humerus in a proximal-distal direction and then driven in the reverse direction into the glenoid. Postoperatively each limb was immobilized in a spica cast, the pins were removed after a month, and the cast was removed after ten to twelve weeks when union was evident. All seven fusions united and function was much improved. When these children were followed to adult life there was only a small loss in humeral length and no change in position of the fused shoulder. Early arthrodesis is advocated in the treatment of a flail shoulder in children.
对7名5至9岁的儿童进行了手术，这些儿童患有连枷肩，手部和肘部功能正常。通过去除肱骨头和关节盂的软骨，将肩固定在80至90度外展位。首先沿肱骨近端至远端方向插入斯氏针，然后反向打入关节盂，将肱骨固定于关节盂。术后，每个肢体用肩人字石膏固定，1个月后取出钢针，10至12周后当融合明显时拆除石膏。所有7例融合均成功，功能有很大改善。当这些儿童成年后随访时，肱骨长度仅有少量缩短，融合的肩部位置无变化。对于儿童连枷肩的治疗，提倡早期关节融合术。
