| 弹性髓内钉治疗青少年锁骨骨折的临床应用 |
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投稿时间：2011-08-15
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| 作者 | Author | 单位 | Address | E-Mail |
| 董伊隆 |
DONG Yi-long |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
dongyilongded@sina.com |
| 潘展鹏 |
PAN Zhan-peng |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
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| 陈文良 |
CHEN Wen-liang |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
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| 赵章伟 |
Zhao Zhang-wei |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
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| 黄益奖 |
HUANG Yi-jiang |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
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| 杨国敬 |
YANG Guo-jing |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
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| 期刊信息：《中国骨伤》2012年，第25卷，第4期，第271-273页 |
| DOI：10.3969/j.issn.1003-0034.2012.04.002 |
| 基金项目: |
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中文摘要:
目的：探讨弹性髓内钉治疗青少年锁骨骨折的方法和临床疗效。
方法：2008年10月至2009年11月,采用弹性髓内钉治疗17例青少年急性锁骨骨折,男11例,女6例；年龄12～18岁,平均15.3岁。伤后至手术时间2～7 d,平均3.5 d.对术前和术后3个月随访时的肩关节Constant评分、术前和术后2周肩关节活动度进行比较,并通过X线片检查观察患者骨折愈合及复位情况。
结果：所有患者均获得随访,时间3～8个月,平均6.5个月。没有出现感染、TEN断裂及顶破皮肤等并发症。术后3个月Constant评分(85.6±4.3)分,较术前(45.3±6.1)分明显提高(t=22.164,P<0.01).术后2周肩关节活动度较术前明显改善(P<0.01).术后12～16周取出髓内钉X线片显示骨性愈合,肩关节活动度恢复良好。
结论：弹性髓内钉治疗青少年锁骨骨折具有疗效良好,创伤小,固定可靠等优点,其为锁骨骨折青少年治疗提供一种可靠的选择。 |
| 【关键词】锁骨 骨折 青少年 骨折固定术,内 |
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| Treatment of adolescent clavicular fracture with titanium elastic nails |
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ABSTRACT
Objective:To investigate the feasibility and clinical effects of titanium elastic nails (TEN) for adolescent clavicular fracture.
Methods:From October 2008 to November 2009,17 adolescent patients with clavicular fracture were treated with internal fixation,including 11 males and 5 females who ranged in age from 12 to 18 years (mean 15.3 years). The mean time from injury to surgery was 3.5 days (2-7 days). Constant function score before surgery and that 3 months after surgery and Shoulder ROM before surgery and that 2 months after surgery were compared. Fracture reduction and healing were followed up by X-rays to analyze internal fixation with the TEN technique.
Results:All patients were followed up for a mean of 6.5 months (range 3-8 months),during which no infection,TEN fracture or skin bursting was observed. The Constant score rose from preoperative (45.3±6.1) to (85.6±4.3) at 3-month follow up (t=22.164,P<0.01),and the shoulder activity degree at 2-week follow up was improved obviosly from preoperative (P<0.01). X-ray at 12-16 weeks after surgery showed good bone healing and recovery of shoulder function.
Conclusion:Internal fixation with TEN in the treatment of adolescent clavicular fracture is safe,minimally invasive,reliable and cosmetic. This technique provides a liable ption for the treatment of adolescent clavicular fracture. |
| KEY WORDS Clavicle Fractures Adolescent 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: | 董伊隆,潘展鹏,陈文良,赵章伟,黄益奖,杨国敬.弹性髓内钉治疗青少年锁骨骨折的临床应用[J].中国骨伤,2012,25(4):271~273 |
| 英文格式: | DONG Yi-long,PAN Zhan-peng,CHEN Wen-liang,Zhao Zhang-wei,HUANG Yi-jiang,YANG Guo-jing.Treatment of adolescent clavicular fracture with titanium elastic nails[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(4):271~273 |
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