| 组合外固定架治疗成人锁骨中1/3不稳定骨折 |
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Received:May 25, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 姜锋 |
JIANG Feng |
河南大学附属淮河医院骨科, 河南 开封 475000 |
Department of Orthopaedics Surgery, Huaihe Affiliated Hospital of Henan University, Kaifeng 475000, Henan, China |
jiangfengshiyan@163.com |
| 王晓 |
WANG Xiao |
河南大学附属淮河医院骨科, 河南 开封 475000 |
Department of Orthopaedics Surgery, Huaihe Affiliated Hospital of Henan University, Kaifeng 475000, Henan, China |
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| 张明辉 |
ZHANG Ming-hui |
河南大学附属淮河医院骨科, 河南 开封 475000 |
Department of Orthopaedics Surgery, Huaihe Affiliated Hospital of Henan University, Kaifeng 475000, Henan, China |
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| 李国军 |
LI Guo-jun |
河南大学附属淮河医院骨科, 河南 开封 475000 |
Department of Orthopaedics Surgery, Huaihe Affiliated Hospital of Henan University, Kaifeng 475000, Henan, China |
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| 黄昌林 |
HUANG Chang-lin |
解放军第150医院全军军事训练医学研究所, 河南 洛阳 471031 |
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| 期刊信息：《中国骨伤》2013年26卷，第12期，第1033-1036页 |
| DOI：10.3969/j.issn.1003-0034.2013.12.015 |
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目的：探讨应用组合外固定架治疗锁骨中1/3不稳定骨折的方法与疗效.
方法：自2008年3月至2011年3月，采用组合式外固定架治疗36例成人锁骨中1/3不稳定骨折，男24例，女12例；年龄18～55岁，平均43岁；左侧20例，右侧16例；受伤至手术时间2～6 d，平均3.5 d.骨折Robinson分型：2A2型7例，2B1型18例，2B2型11例.患者术前均无血管神经损伤.采用 Neer 肩关节功能评分进行疗效评价.
结果：36例患者均获随访，时间6～12个月，平均8个月，均获得骨性愈合.Neer肩关节功能总评分（88.3±6.2）分，其中疼痛（31.6±3.2）分，功能（25.7±2.2）分，活动度（21.1±1.7）分，解剖（8.8±0.8）分；优 22例，良13例，可1例.
结论：组合外固定架治疗成人锁骨中1/3不稳定骨折可以取得较好疗效，是临床可选择的治疗方法. |
| [关键词]:锁骨 骨折 外固定器 关节不稳定性 |
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| Treatment of unstable middle 1/3 of clavicular fractures with composite external fixator in adult patients |
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Abstract:
Objective: To explore methods and clinical effects of composite external fixtor in treating adult patients with unstable middle 1/3 of clavicular fractures.
Methods: From March 2008 to March 2011,36 patients with unstable middle 1/3 of clavicular fractures were treated with composite external fixtor. There were 24 males and 12 females,aged from 18 to 55 years old with an average of 43 years old. Twenty cases on the left side and 16 cases on the right side. Time from injury to operation was 2 to 6 days(averaged 3.5 days). According to Robinson classification,there were 7 cases with type 2A2,18 cases with type 2B1,and 11 cases with type 2B2. No vessels and nerve damage occurred before opreation. The clinical effects were evaluated according to Neer scoring.
Results: All cases were followed up from 6 to 12 months with an average of 8 months. The mean Neer score was 88.3±6.2,which included pain 31.6±3.2, functional score 25.7±2.2,range of motion score 21.1±1.7,and anatomy score 8.8±0.8. There were 22 cases in excellent,good in 13,fair in 1. Two cases occurred pin tract infection.
Conclusion: Composite external fixtor is an optional method in treating unstable middle 1/3 of clavicular fracture,and can obtain a good clinical effects. |
| KEYWORDS:Clavicle Fractures External fixators Joint instability |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 姜锋,王晓,张明辉,李国军,黄昌林.组合外固定架治疗成人锁骨中1/3不稳定骨折[J].中国骨伤,2013,26(12):1033~1036 |
| 英文格式: | JIANG Feng,WANG Xiao,ZHANG Ming-hui,LI Guo-jun,HUANG Chang-lin.Treatment of unstable middle 1/3 of clavicular fractures with composite external fixator in adult patients[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(12):1033~1036 |
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