| 锁骨外固定器和锁骨翼状解剖加压钢板治疗锁骨粉碎性骨折的病例对照研究 |
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Received:January 14, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 马毅 |
MA Yi |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospital Affiliated to Wenzhou Medical College,Linhai 317000,Zhejiang,China |
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| 陈海啸 |
CHEN Hai-xiao |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospital Affiliated to Wenzhou Medical College,Linhai 317000,Zhejiang,China |
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| 林列 |
LIN Lie |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospital Affiliated to Wenzhou Medical College,Linhai 317000,Zhejiang,China |
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| 陈伟富 |
CHEN Wei-fu |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospital Affiliated to Wenzhou Medical College,Linhai 317000,Zhejiang,China |
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| 程福平 |
CHENG Fu-ping |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospital Affiliated to Wenzhou Medical College,Linhai 317000,Zhejiang,China |
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| 梁军波 |
LIANG Jun-bo |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospital Affiliated to Wenzhou Medical College,Linhai 317000,Zhejiang,China |
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| 朱忠 |
ZHU Zhong |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospital Affiliated to Wenzhou Medical College,Linhai 317000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年21卷，第7期，第494-496页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨内外固定两种方法治疗锁骨粉碎性骨折的疗效。
方法：本组768例，应用自行设计的锁骨外固定器保守治疗528例，男321例，女207例，年龄最小15岁，最大82岁，青壮年为多，男多于女，骨折成3部分165例，以上者363例；应用切开复位锁骨翼状加压钢板内固定手术治疗240例，男152例，女88例，年龄17～64岁，骨折成3部分178例，以上者62例。伤后至就诊时间最短2 h,最长8 d,平均1.3 d,采用Neer肩关节功能评分评定疗效。
结果：所有病例随访8～24个月，对于3部分以上的锁骨粉碎性骨折，外固定组的骨不愈合发生率与手术组相比χ2=44.17,P<0.05,差异有统计学意义。3块骨以上，外固定组的肩关节功能平均得分与手术组相比，t=5.284,P<0.05,差异有统计学意义。
结论：应用新型锁骨翼状解剖加压钢板根据锁骨解剖形态，手术固定坚强可靠；使用锁骨外固定器治疗锁骨骨折是一种合并症少、骨折愈合快、功能预后好的理想治疗方法。 |
| [关键词]:锁骨 骨折，粉碎性 外固定器 病例对照研究 |
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| Clinical controlled trial on the treatment of comminuted clavicular fracture with acromioclavicular external fixator and clavicle anatomic DCP internal fixation |
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Abstract:
Objective: To explore the different therapeutic effects of comminuted clavicular fracture with acromioclavicular external fixtatior and DCP internal fixation.
Methods: There were 768 cases of comminuted clavicular fracture involved in the study. Among them,528 patients(321 male and 207 female,aged from 15 to 82 years) treated with acromioclavicular external fixator,in which there were 165 cases of three parts fracture and 363 cases of more than three parts fracture;240 patients (152 males and 88 females,aged from 17 to 64 years)treated with the internal fixation,in which there were 178 cases of three parts fracture and 62 cases of more than three parts fracture. The time between injury and treatment was 1.3 days (range,2 h to 8 days). The results were evaluated according to Neer scoring system.
Results: All the cases were followed up from 8 to 24 months. For treatment of fracture more than three parts,there was significant difference between acromioclavicular external fixation group and internal fixation group in nonunion rate(χ2=44.17,P<0.05) and in Neer scores(t=5.284,P<0.05).
Conclusion: Treatment with DCP internal fixation which matching the AO principles can obtain anatomic reduction,firm fixation and early functional exercise;however,treatment with self-designed acromioclavicular external fixator is an ideal therapeutic method as it has,early union of the fracture and good functional outcome with seldom complications. |
| KEYWORDS:Clavicle Fractures,comminuted External fixators Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 马毅,陈海啸,林列,陈伟富,程福平,梁军波,朱忠.锁骨外固定器和锁骨翼状解剖加压钢板治疗锁骨粉碎性骨折的病例对照研究[J].中国骨伤,2008,21(7):494~496 |
| 英文格式: | MA Yi,CHEN Hai-xiao,LIN Lie,CHEN Wei-fu,CHENG Fu-ping,LIANG Jun-bo,ZHU Zhong.Clinical controlled trial on the treatment of comminuted clavicular fracture with acromioclavicular external fixator and clavicle anatomic DCP internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(7):494~496 |
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