| 手术治疗肩胛骨喙突移位骨折9例分析 |
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Received:January 20, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 姚保兵 |
YAO Bao-bing |
济南市第三人民医院手外科中心, 山东 济南 250101 |
Department of Hand Surgery, the Third People's Hospital of Jinan, Jinan 250101, Shandong, China |
yaobaobing1@163.com |
| 赵亮 |
ZHAO Liang |
济南市第三人民医院手外科中心, 山东 济南 250101 |
Department of Hand Surgery, the Third People's Hospital of Jinan, Jinan 250101, Shandong, China |
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| 尹成国 |
YIN Cheng-guo |
济南市第三人民医院手外科中心, 山东 济南 250101 |
Department of Hand Surgery, the Third People's Hospital of Jinan, Jinan 250101, Shandong, China |
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| 王统立 |
WANG Tong-li |
济南市第三人民医院手外科中心, 山东 济南 250101 |
Department of Hand Surgery, the Third People's Hospital of Jinan, Jinan 250101, Shandong, China |
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| 王文德 |
WANG Wen-de |
济南市第三人民医院手外科中心, 山东 济南 250101 |
Department of Hand Surgery, the Third People's Hospital of Jinan, Jinan 250101, Shandong, China |
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| 王业本 |
WANG Ye-ben |
济南市第三人民医院手外科中心, 山东 济南 250101 |
Department of Hand Surgery, the Third People's Hospital of Jinan, Jinan 250101, Shandong, China |
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| 吴德富 |
WU De-fu |
济南市第三人民医院手外科中心, 山东 济南 250101 |
Department of Hand Surgery, the Third People's Hospital of Jinan, Jinan 250101, Shandong, China |
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| 期刊信息：《中国骨伤》2014年27卷，第12期，第1043-1046页 |
| DOI：10.3969/j.issn.1003-0034.2014.12.017 |
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目的: 探讨手术内固定治疗移位喙突骨折的临床疗效.
方法: 自2005年1月至2012年7月,手术内固定治疗移位喙突骨折9例,其中男6例,女3例;年龄20～57岁,平均40.1 岁.根据Eyres分型:ⅡB型3例,ⅡA型1例,ⅢB型3例,ⅤA型2例.患者均有外伤史,术前经X线片及CT证实喙突骨折.术后按照Herscovici疗效评定标准对肩关节进行功能评定.
结果: 9例患者中7例获得随访,时间6～18个月,平均11个月.患者伤口Ⅰ期愈合,喙突骨折均达骨性愈合,肩锁关节复位良好.按Herscovici疗效评定标准:优6例,良1例.
结论: 手术内固定可恢复移位型喙突骨折喙突正常的生理解剖位置,有利于患肢功能恢复. |
| [关键词]:肩锁关节 脱位 骨折固定术,内 |
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| Surgical treatment for displaced clavicle fracture combined with coracoid process:9 cases report |
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Abstract:
Objective: To explore clinical effects of internal fixation in treating displaced clavicle fracture combined with coracoid process.
Methods: From January 2005 to July 2012,9 patients with displaced clavicle fracture combined with coracoid process were treated by internal fixation. Among them,there were 6 males and 3 females with an average age of 40.1 (ranged from 20 to 57) years old. According to Eyres classification:3 cases were typeⅡB,1 case was typeⅡA,3 cases were type ⅢB,and 2 cases were typeⅤA. All patients had history of injury,and diagnosed as coracoid fracture X-ray and CT before operation. Herscovici criteria was used to evaluate function of shoulders joint after operation.
Results: Seven of 9 patients were followed up from 6 to 18 (averaged 11) months. The incisions were healed at stageⅠ, coracoid process obtained bony healing,and reduction of acromioclavicular joint well. According to Herscovici criteria,6 patients got excellent results and 1 in good.
Conclusion: Internal fixation for the treatment of displaced clavicle fracture combined with coracoid process could restore physiological anatomical position of coracoid process,and benefit for recovery of limb function. |
| KEYWORDS:Acromioclavicular joint Dislocations Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 姚保兵,赵亮,尹成国,王统立,王文德,王业本,吴德富.手术治疗肩胛骨喙突移位骨折9例分析[J].中国骨伤,2014,27(12):1043~1046 |
| 英文格式: | YAO Bao-bing,ZHAO Liang,YIN Cheng-guo,WANG Tong-li,WANG Wen-de,WANG Ye-ben,WU De-fu.Surgical treatment for displaced clavicle fracture combined with coracoid process:9 cases report[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(12):1043~1046 |
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