| 锁骨远端解剖型锁定钢板微创内固定治疗锁骨中外1/3骨折 |
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Received:September 11, 2018
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| 作者 | Author | 单位 | Unit | E-Mail |
| 董文伟 |
DONG Wen-wei |
浙江大学医学院附属第二医院骨科, 浙江 杭州 310009
宁波大学医学院附属医院创伤骨科, 浙江 宁波 315000 |
Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang, China |
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| 赵翔 |
ZHAO Xiang |
浙江大学医学院附属第二医院骨科, 浙江 杭州 310009 |
Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang, China |
flyingzhao@zju.edu.cn |
| 毛海蛟 |
MAO Hai-jiao |
宁波大学医学院附属医院创伤骨科, 浙江 宁波 315000 |
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| 姚立炜 |
YAO Li-wei |
宁波大学医学院附属医院创伤骨科, 浙江 宁波 315000 |
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| 期刊信息：《中国骨伤》2019年32卷，第1期，第28-32页 |
| DOI：10.3969/j.issn.1003-0034.2019.01.006 |
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目的：探讨锁骨远端解剖型锁定钢板闭合复位、微创内固定治疗锁骨中外1/3骨折的临床疗效。
方法：自2016年2月至2017年3月，采用锁骨远端解剖锁定钢板闭合复位、微创内固定治疗锁骨中外1/3骨折患者32例，其中男24例，女8例；年龄22~68（42.3±12.7）岁；根据Robinson分型：2A2型6例，2B1型18例，2B2型8例。术前均无血管、神经损伤。受伤至手术时间0~6（3.1±1.4）d。对比手术前后双侧锁骨长度以评价骨折复位情况，并于术后6个月采用Constant评分评价患肩功能恢复情况。
结果：30例患者获得随访，时间11~18（13.3±2.2）个月。术后无血管、神经损伤、内固定失效、骨折端延迟愈合、不愈合等并发症出现。创面均Ⅰ期愈合，骨折愈合时间8~12（10.2±1.1）周。锁骨短缩长度由术前的（11.2±3.6）%减少至术后2 d的（0.4±0.3）%。10例患者于术后8个月行内固定拆除，术后无再骨折发生。Constant评分由术前的23.53±5.21提高至术后6个月的94.30±5.60，其中优26例，良4例。患者对术后瘢痕美观程度及患肩功能均表示非常满意。
结论：采用锁骨远端解剖型锁定钢板闭合复位、微创内固定治疗锁骨中外1/3骨折，可取得良好的手术疗效，具有创伤小、术后恢复快，瘢痕小、不影响美观等优势。 |
| [关键词]:锁骨 骨折 骨折闭合复位 骨折固定术,内 |
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| Minimally-invasive internal fixation for mid-lateral 1/3 clavicle fracture with distal clavicular anatomic locking plate |
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Abstract:
Objective: To investigate clinical effects of minimally-invasive internal fixation for mid-lateral 1/3 clavicle fracture with distal clavicular anatomic locking plate.
Methods: From February 2016 to March 2017, 32 patients with mid-lateral 1/3 clavicle fractures treated by minimally-invasive internal fixation with distal clavicular anatomic locking plate,including 24 males and 8 females with an average of (42.3±12.7) years old (ranged from 22 to 68 years old). According to Robinson classification, 6 patients were type 2A2,18 patients were type 2B1 and 8 patients were type 2B2. No vessel and nerve injury occurred before operation. The time from injury to operation ranged from 0 to 6 days with an average of (3.1±1.4) days. Length of bilateral clavicule were compared before and after operation to evaluate fracture reduction. Constant score at 6 months after operation was applied to assess recovery of shoulder function.
Results: Thirty patients were followed up from 11 to 18 months with an average of (13.3±2.2) months. No vessel and nerve injury,implant failure,nonunion or delayed union occurred after operation,and facture wound healed at stageⅠ,the time ranged from 8 to 12 weeks with an average of(10.2±1.1) weeks. Shortened length of clavicle decreased from(11.2±3.6)% before operation to (0.4±0.3)% after operation at 2 days. Ten patients removed internal fixation at 8 months after operation without re-fracture occurred after remove plate. Constant score increased from 23.53±5.21 before operation to 94.30±5.60 after operation at 6 months,and 26 patients got excellent results,and 4 good. Patients were satisfied aesthetic degree of scar and shoulder joint function.
Conclusion: Minimally-invasive internal fixation for mid-lateral 1/3 clavicle fracture with distal clavicular anatomic locking plate,which has advantages of less trauma,rapid recover,less scar,could receive good clinical effects and not effect beauty. |
| KEYWORDS:Clavicle Fractures Closed fracture reduction 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: | 董文伟,赵翔,毛海蛟,姚立炜.锁骨远端解剖型锁定钢板微创内固定治疗锁骨中外1/3骨折[J].中国骨伤,2019,32(1):28~32 |
| 英文格式: | DONG Wen-wei,ZHAO Xiang,MAO Hai-jiao,YAO Li-wei.Minimally-invasive internal fixation for mid-lateral 1/3 clavicle fracture with distal clavicular anatomic locking plate[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(1):28~32 |
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