| 双钢板内固定治疗肩峰基底部骨折的临床研究 |
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投稿时间：2013-02-05
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| 作者 | Author | 单位 | Address | E-Mail |
| 吕国强 |
LÜ Guo-qiang |
温州医科大学附属第五医院 丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 朱俊锟 |
ZHU Jun-kun |
温州医科大学附属第五医院 丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 黄淑明 |
HUANG Shu-ming |
温州医科大学附属第五医院 丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 兰树华 |
LAN Shu-hua |
温州医科大学附属第五医院 丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
lsh2681225@163.com |
| 吴泉州 |
WU Quan-zhou |
温州医科大学附属第五医院 丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 郑荣宗 |
ZHENG Rong-zong |
温州医科大学附属第五医院 丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 郑崇武 |
ZHENG Chong-wu |
温州医科大学附属第五医院 丽水市中心医院骨科, 浙江 丽水 323000 |
Department of Orthopaedics, Central Hospital of Lishui, Lishui 323000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2013年，第26卷，第9期，第779-783页 |
| DOI：10.3969/j.issn.1003-0034.2013.09.019 |
| 基金项目: |
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中文摘要:
目的：探讨双钢板内固定治疗肩胛骨肩峰基底部骨折的临床疗效.
方法：回顾性分析2010年1月至2012年5月采用双钢板内固定手术治疗肩峰基底部骨折患者7例,男5例,女2例;年龄24～62岁,平均36.3岁.均为创伤性新鲜闭合性骨折.受伤至手术时间2～10d,平均4.6d.术后进行疼痛视觉模拟评分(VAS)、肩关节功能Hardegger评价以及随访记录并发症情况.
结果：7例均获门诊随访,平均时间8.9个月(4～13个月).所有患者在术后8～14周(平均10.6周)经X线片或三维CT重建提示达骨性愈合.末次随访时VAS评分0～5分;肩关节功能Hardegger评价优2例,良4例,可1例.无切口感染、肩关节不稳、肩峰下撞击症、骨不愈合、内固定失败等并发症发生.
结论：对肩峰基底部骨折采用双钢板内固定手术治疗,可早期功能锻炼,减少并发症,最大限度地恢复肩关节功能. |
| 【关键词】肩胛骨 肩峰 骨折 骨折内固定术,内 |
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| Treatment of acromion base fractures with double plates internal fixation |
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ABSTRACT
Objective：To study clinical effects of double plates fixation for the treatment of acromion base fracutres.
Methods：From January 2010 to May 2012,7 patients with acromion base fractures were treated with double plates ORIF surgical treatment.There were 5 males and 2 females,with an average age of 36.3 years old(ranged,24 to 62 years old).All fractures were acuted and closed injuries.The duration from injury to surgery was 4.6 days (ranged,2 to 10 days).Hardegger functional criterion,Visual Analogue Scale(VAS) and complications of the patients were documented analysis.
Results：All the patients were followed up,and the duration ranged from 4 to 13 months(averaged 8.9 months).The healing duration of fractures ranged from 8 to 14 weeks without any infection,shoulder instability,subacromial impingement syndrome,nonunion and failure of internal fixation.At the latest follow-up,the VAS ranged from 0 to 5.According to Hardegger criterion,2 patients got an excellent result,4 good and 1 poor.
Conclusion：Double plates ORIF plays a positive role in the treatment of acromion base fractures,which reduces complications and maximally restore the function of shoulder. |
| KEY WORDS Acromion Scapula Fractures 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: | 吕国强,朱俊锟,黄淑明,兰树华,吴泉州,郑荣宗,郑崇武.双钢板内固定治疗肩峰基底部骨折的临床研究[J].中国骨伤,2013,26(9):779~783 |
| 英文格式: | LÜ Guo-qiang,ZHU Jun-kun,HUANG Shu-ming,LAN Shu-hua,WU Quan-zhou,ZHENG Rong-zong,ZHENG Chong-wu.Treatment of acromion base fractures with double plates internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(9):779~783 |
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