| 肩锁关节脱位闭合穿针固定定位导向器的研制和临床应用 |
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Received:December 09, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 周松 |
ZHOU Song |
临沂市人民医院骨伤科，山东 临沂 276003 |
Department of Orthopaedics,People's Hospital of Linyi,Linyi 276003,Shandong,China |
zhousong186@163.com |
| 郝永强 |
HAO Yong-qiang |
上海交通大学附属第九人民医院 |
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| 史晓林 |
SHI Xiao-lin |
浙江中医药大学附属第二医院 |
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| 赵焕利 |
ZHAO Huan-li |
临沂市人民医院骨伤科，山东 临沂 276003 |
Department of Orthopaedics,People's Hospital of Linyi,Linyi 276003,Shandong,China |
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| 高开拓 |
GAO Kai-tuo |
临沂市人民医院骨伤科，山东 临沂 276003 |
Department of Orthopaedics,People's Hospital of Linyi,Linyi 276003,Shandong,China |
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| 孙金谞 |
SUN Jin-xu |
临沂市人民医院骨伤科，山东 临沂 276003 |
Department of Orthopaedics,People's Hospital of Linyi,Linyi 276003,Shandong,China |
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| 期刊信息：《中国骨伤》2011年24卷，第3期，第186-188页 |
| DOI：10.3969/j.issn.1003-0034.2011.03.002 |
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目的：通过研究一种方便于闭合复位经皮缝合内固定治疗肩锁关节脱位的辅助工具观察其临床应用效果。
方法：自2008年6月至2009年12月，应用自行设计的肩锁关节脱位闭合穿针固定定位导向器穿针固定配以经皮修复肩锁韧带治疗肩锁关节脱位36例。其中男24例，女12例；年龄20～61岁，平均38.6岁。术前受伤时间3.5～72 h,平均15.2 h.均为TossyⅢ度肩锁关节脱位，无合并锁骨骨折。总结手术所用时间、术中出血量及临床效果。
结果：术中未发生锁骨下神经、血管损伤，平均手术时间20 min,平均出血量10 ml,X线片示肩锁关节固定克氏针位置准确。术后6周取针，随访2～26个月，平均14.3个月，按Karlsson标准评定临床效果满意，优22例，良13例，差1例。
结论：此方法简便易行，缩短了手术时间，费用低，且无手术切口瘢痕形成，保证了体表美观，属微创范围，便于推广应用。 |
| [关键词]:肩锁关节 脱位 骨折固定术 缝合技术 |
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| Design and clinical application of the drilling guide in the treatment of acromioclavicular joint dislocation with closed reduction and Kirschner fixation |
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Abstract:
Objective: To investigate a drilling guide in the treatment of acromioclavicular joint dislocation with closed reduction and Kirschner fixation and explore the therapeutic effect.
Methods: From June 2008 to December 2009,36 patients with acromioclavicular joint dislocation(TossyⅢ) were treated with closed reduction and Kirschner fixation using a self-designed drilling guide as well as percutaneous repair of acromioclavicular joint. Among the patients,24 patients were male and 12 patients were female,ranging in age from 20 to 61 years,averaged 38.6 years. The duration from injury to operation ranged from 3.5 to 72 h,with a mean of 15.2 h. No clavicle fracture was found in all cases. The operative time,intra-operative bleeding and therapeutic effects were observed.
Results: There were no complications including neurovascular problems. The mean operating time were 20 min,mean blood loss were about 10 ml. According to the observation of postoperative X-ray examination,all Kirschners in acromioclavicular joint were in place. All Kirschners were removed in 6 postoperative weeks. All the patients were followed up ranging from 2 to 26 months(averaged 14.3 months). According to the Karlsson standard,22 patients got an excellent result,13 good and 1 poor.
Conclusion: This method has following advantages:easy operation and fixation; minimum injuries to articular surface;and which would be widely used in clinical practice. |
| KEYWORDS:Acromioclavicular joint Dislocations Fracture fixation Suture techniques |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 周松,郝永强,史晓林,赵焕利,高开拓,孙金谞.肩锁关节脱位闭合穿针固定定位导向器的研制和临床应用[J].中国骨伤,2011,24(3):186~188 |
| 英文格式: | ZHOU Song,HAO Yong-qiang,SHI Xiao-lin,ZHAO Huan-li,GAO Kai-tuo,SUN Jin-xu.Design and clinical application of the drilling guide in the treatment of acromioclavicular joint dislocation with closed reduction and Kirschner fixation[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(3):186~188 |
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