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“∞”形绷带厚压垫外固定治疗锁骨外1/3 Ⅱ型骨折
Hits: 1937   Download times: 1128   Received:May 08, 2005    
作者Author单位UnitE-Mail
王红杰 WANG Hong-jie 北京丰盛中医骨伤专科医院,北京100032 Fengsheng Orthopaedics Hospital,Beijing 100032,China  
期刊信息:《中国骨伤》2006年19卷,第2期,第89-90页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨“∞”形绷带厚压垫外固定治疗锁骨外1/3Ⅱ型骨折疗效及并发症。

方法:锁骨外1/3Ⅱ型骨折30例,男21例,女9例;年龄17~61岁,平均36.6岁;受伤时间1h~7d,平均1.1d。采用旋按手法复位后,做双肩“∞”形绷带结合厚压垫、绷带外固定。

结果:根据骨与关节损伤和疾病的诊断分类及功能评定标准,功能评定在90分以上者26例,80~90分者4例。无疼痛症状者26例,功能完全恢复者26例,活动度无受限者27例,X线片复查解剖对位愈合者28例。

结论:采用本固定方法牢固且不会出现组织压疮及坏死,安全有效,值得临床推广。
[关键词]:锁骨  骨折  外固定器
 
“∞” bandage with thick cotten cushion fixation in treatment of type Ⅱ fracture of 1/3 lateral clavicle
Abstract:

Objective:To explore the curative effect and complication produced by “∞”bandage with thick cotten cushion fixation in treatment of type Ⅱ fracture of 1/3 lateral clavicle.

Methods:Thirty patients (21 male and 9 female with average age of 36.6 years ranging from 17 to 61 years) had type Ⅱ fracture of 1/3 lateral for from 1 hour to 7 days (averagely 1.1 days).All patients were treated by manipulative reduction at first,and then fixed by “∞” bandages with thick cushions on both shoulders to keep the position.

Results:According to the scoring standard for evaluating curative effect with 100 points as full score,90 points were achieved in 26 cases and the points between 80 and 90 in other 4 cases.After treatment among all 30 patients,26 patients had no pain and the function in 26 patients were completely recovered.Twenty-seven patients were unlimited in activity and 28 patients were healed with anatomic reduction,which was proved by X-ray.

Conclusion:This method is characterized by firm fixation,safety and utility.Meanwhile,it can prevent the sore of pressing and necrosis.It is worthy popularize clinically.
KEYWORDS:Clavicle  Fractures  External fixator
 
引用本文,请按以下格式著录参考文献:
中文格式:王红杰.“∞”形绷带厚压垫外固定治疗锁骨外1/3 Ⅱ型骨折[J].中国骨伤,2006,19(2):89~90
英文格式:WANG Hong-jie.“∞” bandage with thick cotten cushion fixation in treatment of type Ⅱ fracture of 1/3 lateral clavicle[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(2):89~90
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