| 钳持端提回旋手法复位经皮逆行穿针内固定治疗锁骨骨折的随机对照试验 |
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Received:August 21, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 毕宏政 |
BI Hong-zheng |
文登整骨医院骨伤研究所，山东 文登 264400 |
The Institute of Traditional Chinese Orthopedics and Traumatology,Wendeng Orthopedic Hospital,Wendeng 264400,Shandong,China |
bhz1971@yahoo.com.cn |
| 杨茂清 |
YANG Mao-qing |
文登整骨医院骨伤研究所，山东 文登 264400 |
The Institute of Traditional Chinese Orthopedics and Traumatology,Wendeng Orthopedic Hospital,Wendeng 264400,Shandong,China |
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| 谭远超 |
TAN Yuan-chao |
文登整骨医院骨伤研究所，山东 文登 264400 |
The Institute of Traditional Chinese Orthopedics and Traumatology,Wendeng Orthopedic Hospital,Wendeng 264400,Shandong,China |
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| 付松 |
FU Song |
文登整骨医院骨伤研究所，山东 文登 264400 |
The Institute of Traditional Chinese Orthopedics and Traumatology,Wendeng Orthopedic Hospital,Wendeng 264400,Shandong,China |
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| 期刊信息：《中国骨伤》2008年21卷，第7期，第490-493页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨钳持端提回旋手法复位经皮逆行穿针内固定治疗锁骨骨折的疗效及安全性。
方法：采用前瞻性对照研究，随机将201例锁骨骨折分为治疗组101例，应用钳持端提回旋手法复位经皮逆行穿针内固定方法治疗；对照组100例，采用切开复位克氏针内固定治疗。对所有病例进行4～21个月(平均10.6个月)随访观察，并采用SPSS软件对两组骨折临床愈合时间及肩关节功能优良率进行比较分析。
结果：治疗组骨折均愈合，骨折愈合时间28～49 d,平均(34.5±2.7) d, 肩关节功能优良率100%;对照组4例骨折未愈合，96例骨折愈合时间36～92 d,平均(55.3±4.8) d,肩关节功能优良率83%.分别采用t检验及χ2检验，两组疗效差异有统计学意义(P<0.05).
结论：钳持端提回旋手法复位经皮逆行穿针内固定治疗锁骨骨折适用于各种类型锁骨干部骨折，具有操作简便、安全、固定准确可靠、骨折愈合时间短、肩关节功能恢复好、无手术切口瘢痕影响美观等优点。 |
| [关键词]:锁骨 骨折 骨折固定术，内 骨科手法 随机对照试验 |
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| The randomized controlled trial of the treatment for clavicular fracture by rotatory manual reduction with forceps holder and retrograde percutaneous pinning transfixation |
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Abstract:
Objective: To study the curative effect and safety of rotatory manual reduction with forceps holder and retrograde percutaneous pinning transfixation in treating clavicular fracture.
Methods: All 201 cases of clavicular fractures were randomly divided into treatment group (101 cases) and control group (100 cases). The treatment group was treated by rotatory manual reduction with forceps holder and retrograde percutaneous pinning transfixation. The control group was treated by open reduction and internal fixation with Kirschner pin. All cases were followed up for 4 to 21 months(mean 10.6 months). SPSS was used to analyze clinic healing time of fracture and shoulder-joint function in both two groups.
Results: After operation,101 cases of treatment group achieved union of fracture and the clinical healing time was 28 to 49 days(mean 34.5±2.7 days ). In control group,there were 4 cases with nonunion of fracture,the other 96 cases were union,the clinical healing time was 36 to 92 days(mean 55.3±4.8 days). The excellent and good rate of shoulder-joint function was 100% in treatment group and 83% in control group. By t-test and χ2-test,there was significant difference between the two groups in curative effect(P<0.05).
Conclusion: Rotatory manual reduction with forceps holder and retrograde pinning transfixation can be used in various kinds of clavicular shaft fracture,with many virtues such as easy operation,reliable fixation,short union time of fracture,good functional recovery of shoulder-joint and no incision scar affecting appearance. |
| KEYWORDS:Clavicle Fractures Fracture fixation,internal Orthopedic manipulation Randomized controlled trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 毕宏政,杨茂清,谭远超,付松.钳持端提回旋手法复位经皮逆行穿针内固定治疗锁骨骨折的随机对照试验[J].中国骨伤,2008,21(7):490~493 |
| 英文格式: | BI Hong-zheng,YANG Mao-qing,TAN Yuan-chao,FU Song.The randomized controlled trial of the treatment for clavicular fracture by rotatory manual reduction with forceps holder and retrograde percutaneous pinning transfixation[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(7):490~493 |
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