| 弹性髓内钉治疗大龄儿童锁骨骨折的临床疗效 |
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投稿时间：2014-09-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 许国军 |
XU Guo-jun |
温州医科大学附属义乌医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, the Yiwu Affiliated Hospital of Wen-zhou Medical University, Yiwu 322000, Zhejiang, China |
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| 吴国林 |
WU Guo-lin |
温州医科大学附属义乌医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, the Yiwu Affiliated Hospital of Wen-zhou Medical University, Yiwu 322000, Zhejiang, China |
wuguolin221221@163.com |
| 陈旭宏 |
CHEN Xu-hong |
温州医科大学附属义乌医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, the Yiwu Affiliated Hospital of Wen-zhou Medical University, Yiwu 322000, Zhejiang, China |
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| 季向荣 |
JI Xiang-rong |
温州医科大学附属义乌医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, the Yiwu Affiliated Hospital of Wen-zhou Medical University, Yiwu 322000, Zhejiang, China |
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| 黄洪斌 |
HUANG Hong-bing |
温州医科大学附属义乌医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, the Yiwu Affiliated Hospital of Wen-zhou Medical University, Yiwu 322000, Zhejiang, China |
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| 陈超丽 |
CHEN Chao-li |
温州医科大学附属义乌医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, the Yiwu Affiliated Hospital of Wen-zhou Medical University, Yiwu 322000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2015年，第28卷，第2期，第101-105页 |
| DOI：10.3969/j.issn.1003-0034.2015.02.002 |
| 基金项目: |
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中文摘要:
目的:研究弹性髓内钉闭合复位治疗大龄儿童锁骨骨折的应用和疗效.
方法:自2010年10 月至2012年12月,应用弹性髓内钉治疗16例大龄儿童锁骨骨折患者,男9例,女7例;年龄9～17岁,平均14.2岁;受伤至手术时间2～6 d.骨折类型:横形骨折13例,斜形3例(无长斜形骨折).分别比较健侧与患侧术后3个月随访时的肩关节Neer评分和术后3周的肩关节活动度,并通过X线片检查随访患者骨折愈合及复位情况.
结果:术后患儿伤口愈合良好,术后有2例出现皮肤激惹反应,没有出现感染、TEN断裂、骨折延迟愈合及顶破皮肤等并发症.所有患儿获得随访,时间3～10个月,平均7.2个月.术后3个月Neer评分96.69±6.22,与健侧98.75±2.70比较,差异无统计学意义(t=2.12,P>0.05).术后3周肩关节活动度与健侧比较差异有统计学意义(P<0.05).术后12～18周X线片显示骨性愈合后取出髓内钉,术后肩关节活动度恢复良好.
结论:弹性髓内钉具有损伤小、美观、固定可靠等优点,可为大龄儿童锁骨骨折提供一种较为理想的内固定方法. |
| 【关键词】锁骨 骨折 儿童 骨折固定术,髓内 外科手术 |
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| Therapeutic effects of titanium elastic nails for the treatment of clavicular fractures in elder children |
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ABSTRACT
Objective:To research the application and clinical effect of titanium elastic nails (TEN) for the treatment of closed clavicular fracture in elder children.
Methods:From October 2010 to December 2012,16 elderly children with clavicular fracture of elder children were treated with internal fixation,including 9 boys and 7 girls with an average age of 14.2 years old ranging from 9 to 17 years. The mean time between injury and surgery was 2 to 6 days. Thirteen patients had a transverse fractures; 3 patients had a oblique fractures,excluding the long-oblique patients. Neer function score after 3 months follow-up and the shoulder activity degree after 3 weeks followed were compared respectively between the injured side and healthy side. Fracture reduction and healing were followed up by X-rays to analyze internal fixation with TEN technique.
Results:All patients were healed well after surgery. There were 2 cases with soft tissue irritation. No cases of infection,TEN broken,delayed healing or skin bursting were observed. All patients were followed up for 3 to 10 months,with an average of 7.2 months. There were no significant differences (t=2.12,P>0.05) between the healthy side (98.75±2.70) and injured side(96.69±6.22)of Neer score at 3 months during followed up. The shoulder activity at 3 weeks during followed up was different between both sides(P<0.05). The intramedullary nail was removed after X-rays at 12-18 weeks during followed up showed good bone healing,and the shoulder function was recovered well.
Conclusion:Internal fixation with TEN for the treatment of clavicular fracture has advantages of a limited invasion,beauty,safety and reliability. This technique provides an ideal fixation option for the treatment of clavicular fracture in elder children. |
| KEY WORDS Clavicle Fractures Child Fracture fixation,intramedullary Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 许国军,吴国林,陈旭宏,季向荣,黄洪斌,陈超丽.弹性髓内钉治疗大龄儿童锁骨骨折的临床疗效[J].中国骨伤,2015,28(2):101~105 |
| 英文格式: | XU Guo-jun,WU Guo-lin,CHEN Xu-hong,JI Xiang-rong,HUANG Hong-bing,CHEN Chao-li.Therapeutic effects of titanium elastic nails for the treatment of clavicular fractures in elder children[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(2):101~105 |
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