| 桥接系统治疗成人锁骨中段骨折 |
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Received:July 11, 2018
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| 作者 | Author | 单位 | Unit | E-Mail |
| 牛锋 |
NIU Feng |
南京中医药大学, 江苏 南京 210023
南京中医药大学扬州附属医院骨伤科, 江苏 扬州 225000 |
Department of Orthopaedics, Nanjing University of Traditional Chinese Medicine, Nanjing 210023, Jiangsu, China |
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| 马勇 |
MA Yong |
南京中医药大学, 江苏 南京 210023 |
Department of Orthopaedics, Nanjing University of Traditional Chinese Medicine, Nanjing 210023, Jiangsu, China |
zhongyi-my@263.net |
| 田涛 |
TIAN Tao |
南京中医药大学扬州附属医院骨伤科, 江苏 扬州 225000 |
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| 周建中 |
ZHOU Jian-zhong |
南京中医药大学扬州附属医院骨伤科, 江苏 扬州 225000 |
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| 期刊信息：《中国骨伤》2019年32卷，第1期，第38-42页 |
| DOI：10.3969/j.issn.1003-0034.2019.01.008 |
| 基金项目:国家卫生和计划生育委员会医药卫生科技发展研究中心课题（编号：W2015QJ056） |
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目的：探讨桥接系统治疗成人锁骨中段骨折的临床疗效。
方法：自2016年1月至2016年8月采用切开复位桥接系统内固定治疗28例成人锁骨中段骨折患者，其中男15例，女13例；年龄27~82（48.50±15.34）岁；病程13~15（14.17±0.77）个月。记录患者的骨折愈合时间及并发症情况，并于术前，术后1、3、13个月采用肩关节Constant评分进行疗效评价。
结果：28例患者骨折均达到临床愈合标准，愈合时间2.5~4.0（3.05±0.44）个月。术后未出现感染、骨不连、延迟愈合、内固定物断裂及内固定取出后再骨折病例。28例患者获得随访，时间13~15个月（14.17±0.77）个月。术后1、3、13个月患侧肩关节Constant评分分别为76.57±4.70、90.75±3.62、96.07±2.40，与术前58.36±4.98比较差异有统计学意义（P<0.05）。
结论：桥接系统可以作为治疗成人锁骨中段骨折的一种新型内固定方式，具有恢复快、并发症少的特点，可以降低内固定物断裂、应力下骨质疏松、内固定取出后再骨折的风险。 |
| [关键词]:锁骨 骨折 骨折固定术 骨折切开复位 |
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| Clinical application of bridge-link combined fixation system for adult mid-shaft clavicle fractures |
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Abstract:
Objective: To explore clinical efficacy of bridge-link combined fixation system for adult mid-shaft clavicle fractures.
Methods: From January 2016 to August 2016,28 patients with mid-shaft clavicle fractures were treated by bridge-link combined fixation system,including 15 males and 13 females,aged from 27 to 82 years old with an average of(48.50±15.34) years old;the courses of disease was for 13 to 15 months with an average of (14.17±0.77) months. Fracture healing time and complication were observed,postoperative and postoperative Constant function score of shoulder joint at 1,3 and 13 months and were compared.
Results: All patients were followed up for 13 to 15 months with an average of (14.17±0.77) months. Twenty-eight patients achieved clinical fracture healing without infection,bone un-union,delayed union,breakage of internal fixation and re-fracture after removing of the internal fixation occurred. Fracture healing time ranged from 2.5 to 4 months with (3.05±0.44) months. Postoperative Constant score at 1,3 and 13 months were 76.57±4.70,90.75±3.62,96.07±2.40 respectively,and had significant difference compared with before operation(58.36±4.98).
Conclusion: Bridge-link combined fixation system could be used as a new internal fixation for adult mid-shaft clavicle fractures,which has advantages of rapid recovery,less complications,and could reduce incidence of breakage of internal fixation,osteoporosis,re-fractures after removing the internal fixation. |
| KEYWORDS:Clavicle Fractures Fracture fixation Open fracture reduction |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 牛锋,马勇,田涛,周建中.桥接系统治疗成人锁骨中段骨折[J].中国骨伤,2019,32(1):38~42 |
| 英文格式: | NIU Feng,MA Yong,TIAN Tao,ZHOU Jian-zhong.Clinical application of bridge-link combined fixation system for adult mid-shaft clavicle fractures[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(1):38~42 |
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