| T形钢板内固定治疗锁骨近端骨折 |
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投稿时间：2015-11-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 黄兴锐 |
HUANG Xing-rui |
苏州市吴江区中医医院 吴江区第二人民医院骨科, 江苏 苏州 215221 |
Department of Orthpaedics, Wujiang District Second People's Hospital, Suzhou 215221, Jiangsu, China |
huangxingrui2008@163.com |
| 徐浩 |
XU Hao |
苏州市吴江区中医医院 吴江区第二人民医院骨科, 江苏 苏州 215221 |
Department of Orthpaedics, Wujiang District Second People's Hospital, Suzhou 215221, Jiangsu, China |
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| 期刊信息：《中国骨伤》2016年，第29卷，第4期，第376-379页 |
| DOI：10.3969/j.issn.1003-0034.2016.04.019 |
| 基金项目: |
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中文摘要:
目的:初步探讨采用T形钢板内固定手术治疗锁骨近端骨折的临床疗效.
方法:2006年7月至2014年1月应用T形钢板内固定手术治疗锁骨近端骨折11例,男8例,女3例;年龄21~66岁,平均(41.0±1.3)岁;直接暴力损伤8例,间接暴力损伤3例,合并胸锁关节脱位2例.左侧6例,右侧5例.根据Craig分型,Ⅱ型4例,Ⅲ型2例,Ⅴ型5例.治疗后参照Rockwood评分标准,根据疼痛、肩部活动度、肌力、日常活动以及主观评分进行疗效评价.
结果:11例均获随访,时间12~18个月,平均15个月.全部获得骨性愈合,骨折端复位良好,外观及功能恢复好.根据疗效标准,优9例,良2例.
结论:T形钢板内固定手术治疗锁骨近端骨折操作简便安全、固定可靠,能较好地维持复位及促进恢复,利于早期功能锻炼,可最大程度恢复肩关节功能. |
| 【关键词】锁骨 骨折 骨折固定术,内 外科手术 |
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| Treatment of proximal clavicle fracture by T-plate internal fixation |
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ABSTRACT
Objective:To investigate the clinical effects of internal fixation with T plate for the treatment of proximal clavicle fracture.
Methods:From July 2006 to January 2014,11 patients with proximal clavicle fracture were treated with T plate internal fixation,including 8 males and 3 females with an average age of (41.0±1.3) years old ranging from 21 to 66 years old. Among them,8 patients were injured by direct violence,3 patients were injured by indirect violence,and 2 patients combined sternoclavicular joint dislocation. Six patients had injuries in the left,and 5 patients in the right. Four cases were Craig type II,2 were type III,5 were type V. The therapeutic effects were evaluated by Rockwoods score criteria based on pain,range of montion of sternoclavicular joint,muscle force,daily activities and subjective rating.
Results:All the patients were followed up for 12 to 18 months (means 15.0 months). All fractures were healed,the fractures end reset well,the appearance and function recovered well. According to Rockwoods score criteria,9 patients obtained an excellent result,2 fair.
Conclusion:The internal fixation of T plate in treating proximal clavicle fracture has the advantages of good stability,low risk and simplicity moreover,the shoulder joint function can be greatly improved,the patients can do functional exercises early. |
| KEY WORDS Clavicle Fractures Fracture fixation,internal 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: | 黄兴锐,徐浩.T形钢板内固定治疗锁骨近端骨折[J].中国骨伤,2016,29(4):376~379 |
| 英文格式: | HUANG Xing-rui,XU Hao.Treatment of proximal clavicle fracture by T-plate internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(4):376~379 |
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