| 肩后入路内固定治疗不稳定性肩胛骨骨折 |
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投稿时间：2003-08-04
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| 作者 | Author | 单位 | Address | E-Mail |
| 王文跃 |
WANG Wen yue |
海盐县人民医院骨科,浙江海盐314300 |
Department of Orthopaedics,the People's Hospital of Haiyan(Zhejing Haiyan,314300,China) |
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| 陈顺方 |
CHEN Shun fang |
海盐县人民医院骨科,浙江海盐314300 |
Department of Orthopaedics,the People's Hospital of Haiyan(Zhejing Haiyan,314300,China) |
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| 冯健 |
FENG Jian |
海盐县人民医院骨科,浙江海盐314300 |
Department of Orthopaedics,the People's Hospital of Haiyan(Zhejing Haiyan,314300,China) |
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| 周海平 |
ZHOU Hai ping |
海盐县人民医院骨科,浙江海盐314300 |
Department of Orthopaedics,the People's Hospital of Haiyan(Zhejing Haiyan,314300,China) |
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| 朱海涛 |
ZHU Hai tao |
海盐县人民医院骨科,浙江海盐314300 |
Department of Orthopaedics,the People's Hospital of Haiyan(Zhejing Haiyan,314300,China) |
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| 胡祖愉 |
HU Zu yu |
海盐县人民医院骨科,浙江海盐314300 |
Department of Orthopaedics,the People's Hospital of Haiyan(Zhejing Haiyan,314300,China) |
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| 王俭 |
WANG Jian |
海盐县人民医院骨科,浙江海盐314300 |
Department of Orthopaedics,the People's Hospital of Haiyan(Zhejing Haiyan,314300,China) |
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| 胡江 |
HU Jiang |
海盐县人民医院骨科,浙江海盐314300 |
Department of Orthopaedics,the People's Hospital of Haiyan(Zhejing Haiyan,314300,China) |
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| 期刊信息：《中国骨伤》2004年，第17卷，第3期，第157-159页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:探讨不稳定性肩胛骨系列骨折的手术适应证与开放复位内固定的治疗效果。
方法:22例肩胛骨骨折,男18例,女4例,年龄25～65岁,平均35.5岁。根据术前X线片与CT扫描对骨折进行分型,确定手术指征,经肩后入路行切开复位,采用重建钢板、微型钢板、拉力螺钉内固定,术后早期功能锻炼。
结果:22例均获9～28个月随访,平均17.5个月,疗效优14例,良5例,可2例,差1例,优良率86.4%。所有骨折平均在术后8.5周骨性愈合。
结论:对不稳定性肩胛骨骨折行开放复位内固定、早期功能锻炼可恢复较好的肩关节功能。 |
| 【关键词】肩骨折 骨折固定术,内 骨折愈合 |
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| Operative treatment for unstable scapular fracture with posterior approach |
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ABSTRACT
Objective:To investigate the operative indication and the outcomes of unstable fractures of scapular with open reduction and internal fixation.
Methods:There were 22 cases of scapular fracture,male 18,female 4.The average age was 35.5 years old(from 25 to 65).Before operation,scapular fractures were classified with X ray and CT scan,and treated with open reduction and internal fixation.The patients were requested to do earlier rehabilitation after operation.
Results:All cases were followed for an average of 17.5 months(from 9 to 28 months) with the results of excellent 14 cases,good 5,ordinary 2,poor 1.Excellent and good percentage is 86.4%.All fractures healed in average 8.5 weeks after operation.
Conclusion:Open reduction with internal fixation and early rehabilitation can lead to good function of the shoulder for unstable scapular fracture. |
| KEY WORDS Shoulder fractures Fracture fixation,internal Fracture healing |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王文跃,陈顺方,冯健,周海平,朱海涛,胡祖愉,王俭,胡江.肩后入路内固定治疗不稳定性肩胛骨骨折[J].中国骨伤,2004,17(3):157~159 |
| 英文格式: | WANG Wen yue,CHEN Shun fang,FENG Jian,ZHOU Hai ping,ZHU Hai tao,HU Zu yu,WANG Jian,HU Jiang.Operative treatment for unstable scapular fracture with posterior approach[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(3):157~159 |
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