| 弹力带斜“8”固定治疗锁骨外端骨折病例对照研究 |
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Received:December 30, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 洪明飞 |
HONG Ming-fei |
台州市中医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Hospital of Traditional Chinese Medicine,Taizhou 318000,Zhejiang,China |
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| 喻灿明 |
YU Can-ming |
台州市中医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Hospital of Traditional Chinese Medicine,Taizhou 318000,Zhejiang,China |
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| 蒋招波 |
JIANG Zhao-bo |
台州市中医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Hospital of Traditional Chinese Medicine,Taizhou 318000,Zhejiang,China |
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| 陶锡东 |
TAO Xi-dong |
台州市中医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Hospital of Traditional Chinese Medicine,Taizhou 318000,Zhejiang,China |
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| 徐荣敏 |
XU Rong-min |
台州市中医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Hospital of Traditional Chinese Medicine,Taizhou 318000,Zhejiang,China |
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| 陈国军 |
CHEN Guo-jun |
台州市中医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Hospital of Traditional Chinese Medicine,Taizhou 318000,Zhejiang,China |
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| 陈剑虹 |
CHEN Jian-hong |
台州市中医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Hospital of Traditional Chinese Medicine,Taizhou 318000,Zhejiang,China |
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| 潘海宇 |
PAN Hai-yu |
台州市中医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Hospital of Traditional Chinese Medicine,Taizhou 318000,Zhejiang,China |
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| 厉匡林 |
LI Kuang-lin |
台州市中医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Hospital of Traditional Chinese Medicine,Taizhou 318000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年21卷，第7期，第498-499页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：应用自行改良研究的弹力带斜“8”固定治疗锁骨外端骨折，并与手术切开复位锁骨钩钢板内固定比较治疗效果。
方法：锁骨外端骨折120例，弹力带斜“8”固定(手法组)75例，锁骨钩钢板内固定(手术组)45例。
结果：骨折愈合时间：手法组平均(6.71±2.35)周，手术组平均(11.38±4.58)周，P<0.01,差异有统计学意义。骨折愈合率：手法组100%;手术组97.8%,P>0.05,差异无统计学意义。肩关节功能评定：手法组优56例，良14例，差5例，优良率93.3%;手术组优38例，良5例，差2例，优良率95.5%,P>0.05,差异无统计学意义。
结论：弹力带斜“8”固定可达到与锁骨钩钢板固定相同的疗效，且骨折愈合时间短、医疗费用低、治疗风险小，是一种经济、实用、安全的治疗方法。 |
| [关键词]:锁骨 骨折 骨折固定术 骨科手法 病例对照研究 |
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| Case-control studies of the treatment for the distal clavicle fracture by elastic band inclined “8” fixation |
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Abstract:
Objective: To compare the effects of the treatment for the distal clavicle fracture with two different methods.
Methods: There were 120 cases of the distal clavicle fractures involved in the study. Among them,75 cases were treated by self-improved elastic band inclined“8” fixation(Manipulation group),45 cases were treated by open reduction and internal fixation with clavicular hook plate(Operation group).
Results: There was statistically significant difference between manipulation group(6.71±2.35 weeks) and operation group(11.38±4.58 weeks) in the time of fracture union(P<0.01);but,there was no statistically significant difference between manipulation group(100%) and operation group(97.8%) in the rate of fracture union(P>0.05). According to the evaluation of shoulder-joint function,56,14 and 5 cases obtained excellent,good and bad result respectively in manipulation group;38,5 and 2 cases obtained excellent,good and bad respectively in operation group. There was no statistically significant difference between manipulation group(93.3%) and operation group(95.5%) in the rate of excellent and good(P>0.05).
Conclusion: Compared with open reduction and internal fixation with clavicular hook plate,treatment with self-improved elastic band inclined“8” fixation can shorten the union time of fracture and reduce therapeutic risks,so it is an economical,practical and safe method for the distal clavicle fracture. |
| KEYWORDS:Clavicle Fractures Fracture fixation Orthopedic manipulation 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: | 洪明飞,喻灿明,蒋招波,陶锡东,徐荣敏,陈国军,陈剑虹,潘海宇,厉匡林.弹力带斜“8”固定治疗锁骨外端骨折病例对照研究[J].中国骨伤,2008,21(7):498~499 |
| 英文格式: | HONG Ming-fei,YU Can-ming,JIANG Zhao-bo,TAO Xi-dong,XU Rong-min,CHEN Guo-jun,CHEN Jian-hong,PAN Hai-yu,LI Kuang-lin.Case-control studies of the treatment for the distal clavicle fracture by elastic band inclined “8” fixation[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(7):498~499 |
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