| 克氏针微创治疗胸锁关节前脱位 |
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| 作者 | Author | 单位 | Address | E-Mail |
| 彭程 |
PENG Cheng |
上海市奉贤区奉城医院骨科,上海 201411 |
Department of Orthopaedics,the Fengcheng Hospital of Fengxian District,Shanghai 201411,China |
pengcheng1111@126.com |
| 孙大川 |
SUN Da-chuan |
上海市奉贤区奉城医院骨科,上海 201411 |
Department of Orthopaedics,the Fengcheng Hospital of Fengxian District,Shanghai 201411,China |
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| 李俊光 |
LI Jun-guang |
上海市奉贤区奉城医院骨科,上海 201411 |
Department of Orthopaedics,the Fengcheng Hospital of Fengxian District,Shanghai 201411,China |
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| 何陈刚 |
HE Chen-gang |
上海市奉贤区奉城医院骨科,上海 201411 |
Department of Orthopaedics,the Fengcheng Hospital of Fengxian District,Shanghai 201411,China |
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| 胡春林 |
HU Chun-lin |
上海市奉贤区奉城医院骨科,上海 201411 |
Department of Orthopaedics,the Fengcheng Hospital of Fengxian District,Shanghai 201411,China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第2期，第151-153页 |
| DOI：10.3969/j.issn.1003-0034.2010.02.026 |
| 基金项目: |
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中文摘要:
目的：探讨闭合复位经皮克氏针穿针治疗胸锁关节前脱位的安全性及疗效。
方法：2001年1月至2009年2月治疗胸锁关节前脱位患者6例，男5例，女1例；年龄19～45岁，平均28.8岁；右侧4例，左侧2例；受伤到治疗时间6 h～12 d,平均4.5 d.采用闭合复位克氏针经皮穿针治疗。按照Rockwood胸锁关节评分法对疗效进行评价，并观察并发症情况。
结果：6例获得随访，时间3～13个月，平均6个月。术前得分(7.00±0.89)分，术后得分(13.17±1.72)分；优5 例，良1例。无局部感染、术后疼痛、脱位复发、断针、退针等并发症发生。
结论：克氏针经皮穿针治疗胸锁关节前脱位操作简便、固定牢靠、并发症少，值得临床选择。 |
| 【关键词】胸锁关节 脱位 骨折固定术，内 |
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| Treatment of anterior dislocation of sternoclavicular joint with Kirschner wire minimally invasive fixation |
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ABSTRACT
Objective: To investigate the safety and efficacy of close reduction and percutaneous needle fixation for the treatment of anterior dislocation of sternoclavicular joint.
Methods: A retrospective analysis was performed with 6 cases of anterior sternoclavicular dislocation by close reduction and percutaneous needle fixation with Kirschner wire treated from January 2001 to February 2009,including 5 males and 1 female aged from 19 to 45 with an average of 28.8 years old. Among the 6 cases,4 were on right lateral and 2 were on left lateral. The time from injured to treatment was from 6 hours to 12 days (averaged 4.5 days). The clinical effects were evaluated according to Rockwood scoring and the complications were observed.
Results: All 6 patients were followed-up for 3 to 13 months(averaged 6 months). According to Rockwood scoring,the preoperative score was(7.00±0.89) points,postoperative score was(13.17±1.72) points; the results showed excellent in 5 cases and good in 1 case. No local infection,postoperative pain,recurrent dislocation,broken needle,and other complications were observed in this study.
Conclusion: The treatment of anterior sternoclavicular joint dislocation with Kirschner wire minimally invasive fixation is an easy,reliable fixation with less complications. |
| KEY WORDS Sternoclavicular joint Dislocations Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 彭程,孙大川,李俊光,何陈刚,胡春林.克氏针微创治疗胸锁关节前脱位[J].中国骨伤,2010,23(2):151~153 |
| 英文格式: | PENG Cheng,SUN Da-chuan,LI Jun-guang,HE Chen-gang,HU Chun-lin.Treatment of anterior dislocation of sternoclavicular joint with Kirschner wire minimally invasive fixation[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(2):151~153 |
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