| 锁骨钩钢板在锁骨远端创伤的应用及并发症分析 |
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投稿时间：2009-05-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 王德利 |
WANG De-li |
海军总医院骨科,北京 100037 |
Department of Orthopaedics,the Navy General Hospital,Beijing 100037,China |
wangdelinavy@yahoo.com.cn |
| 阮狄克 |
RUAN Di-ke |
海军总医院骨科,北京 100037 |
Department of Orthopaedics,the Navy General Hospital,Beijing 100037,China |
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| 殷琦 |
YIN Qi |
英国利物浦大学皇家医学院骨科 |
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| 李海峰 |
LI Hai-feng |
海军总医院骨科,北京 100037 |
Department of Orthopaedics,the Navy General Hospital,Beijing 100037,China |
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| 王鹏建 |
WANG Peng-jian |
海军总医院骨科,北京 100037 |
Department of Orthopaedics,the Navy General Hospital,Beijing 100037,China |
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| 何勍 |
HE Qin |
海军总医院骨科,北京 100037 |
Department of Orthopaedics,the Navy General Hospital,Beijing 100037,China |
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| 李威 |
LI Wei |
海军总医院骨科,北京 100037 |
Department of Orthopaedics,the Navy General Hospital,Beijing 100037,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第9期，第655-657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：探讨应用锁骨钩钢板内固定治疗锁骨远端创伤患者的临床效果，分析并发症的原因并探讨进一步防治措施。
方法：2001年9月至2008年2月治疗50例锁骨远端创伤患者，其中男36例，女14例；年龄19～77岁，平均43岁。新鲜NeerⅡ型锁骨远端骨折36例，Tossy Ⅲ型肩锁关节脱位14例。应用锁骨钩钢板内固定治疗。术后随访测量肩关节前屈上举活动度和并发症发生情况，分别采用Karlsson标准及Constant-Murley评分标准进行功能评价。
结果：所有患者随访7～18个月，平均12个月，术后1周所有患者均能进行肩关节主动活动。术后6周均完全恢复日常生活和工作能力。按照Karlsson标准，优44例，良6例。对患肩进行Constant-Murley评分，术前患肩平均(73.8±8.3)分，术后平均(59.6±6.7)分，术后评分高于术前。无伤口感染发生，5例发生术后并发症均得到及时治疗，随访骨折全部愈合，无肩锁关节再次脱位。
结论：应用锁骨钩钢板内固定治疗NeerⅡ型锁骨远端骨折和TossyⅢ 型肩锁关节脱位，具有固定坚强可靠、能早期功能锻炼的优点，同时又能减少手术并发症。 |
| 【关键词】肩锁关节 脱位 内固定器 锁骨 骨折 |
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| Clinical application of hook plate for the treatment of distal clavicular trauma and analysis on its complications |
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ABSTRACT
Objective: To discuss the clinical results of hook plate internal fixation for the treatment of distal traumatic injuries of clavicle,and to analysis the mechanism of the complications.
Methods: From 2001.9 to 2008.2,36 patients with fresh distal clavicle fractures of Neer typeⅡand 14 patients with dislocation of Acromioclavicular joint of Tossy type Ⅲwere treated with hook plate internal fixations. Among the patients,36 patients were male and 14 patients were female,ranging in age from 19 to 77 years,with an average of 43 years. After the operation,the rang of motion of shoulder joint was measured and the complications were studied. The Karlsson and Constant-Murley criteria were used to evaluate the therapeutic effects.
Results: All the patients were followed up with a mean duration of 12 months (7 to 18 months). All the patients could move shoulder joint actively 1 week after operation,and recover to the normal ROM at the 6 th week after operation. According to Karlsson criteria,44 patients got an excellent result,6 good. According to Constant-Murley criteria,the average score of wound shoulder was (73.8±8.3) before operation,and(59.6±6.7) after operation,and the postoperative score was higher than preoperative score. No incision infections were found and 5 patients with complications were cured. No re-dislocation of acromioclavicular joint occurred.
Conclusion: It is advocated that hook plate for the treatment of distal clavicular fractures of Neer typeⅡand acromioclavicular dislocation of Tossy type Ⅲcould provide sufficient stability to allow early functional rehabilitation,and to decrease the rate of complications. |
| KEY WORDS Acromioclavicular joint Dislocations Internal fixators Clavicle Fractures |
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| 中文格式: | 王德利,阮狄克,殷琦,李海峰,王鹏建,何勍,李威.锁骨钩钢板在锁骨远端创伤的应用及并发症分析[J].中国骨伤,2009,22(9):655~657 |
| 英文格式: | WANG De-li,RUAN Di-ke,YIN Qi,LI Hai-feng,WANG Peng-jian,HE Qin,LI Wei.Clinical application of hook plate for the treatment of distal clavicular trauma and analysis on its complications[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(9):655~657 |
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