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[1]丁紅,許曉躍,許欣,等.LARS人工韌帶與縫線骨錨重建喙鎖韌帶治療鎖骨遠端不穩(wěn)定性骨折的療效比較[J].中醫(yī)正骨,2012,24(06):34-36.
　DING Hong*,XU Xiao-yue,XU Xin,et al.Comparison of the curative effects between LARS artificial ligaments and suture anchors in the reconstruction of coracoclavicular ligaments for treating unstable distal clavicular fracture[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(06):34-36.
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LARS人工韌帶與縫線骨錨重建喙鎖韌帶治療鎖骨遠端不穩(wěn)定性骨折的療效比較()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年06期
頁碼:
34-36
欄目:
臨床研究
出版日期:
2012-06-30

文章信息/Info

Title:
Comparison of the curative effects between LARS artificial ligaments and suture anchors in the reconstruction of coracoclavicular ligaments for treating unstable distal clavicular fracture
作者:
丁紅; 許曉躍; 許欣; 諸蘇杭
浙江省慈溪市人民醫(yī)院，浙江慈溪315300
Author(s):
DING Hong*; XU Xiao-yue; XU Xin; ZHU Su-hang.*
The People’s Hospital of Cixi City,Cixi 315300,Zhejiang,China
關鍵詞:
骨折　鎖骨　骨折固定術; 內(nèi)　人工韌帶　縫合錨
Keywords:
Fractures; bone; Clavicle; Fracture fixation; interal; Artificial ligaments; Suture anchors
摘要:
目的：比較LARS人工韌帶與縫線骨錨重建喙鎖韌帶2種方法治療鎖骨遠端不穩(wěn)定性骨折的療效。方法：42例鎖骨遠端不穩(wěn)定 性骨折患者，男27例，女15例；年齡32～79歲，中位數(shù)54歲；左側26例，右側16例；合并骨質(zhì)疏松癥27例；骨折分型：NeerⅡ 型30例，Ⅲ型12例。隨機分為2組，分別采用LARS人工韌帶與縫線骨錨重建喙鎖韌帶，觀察骨折愈合及肩關節(jié)功能恢復情況，并 對2組患者的療效進行比較。結果：2組患者均獲隨訪，隨訪時間6～16個月，中位數(shù)11個月；骨折均愈合；參照JOA肩關節(jié)疾患 治療成績判定標準評定療效，LARS人工韌帶組療效優(yōu)于縫線骨錨組，差異具有統(tǒng)計學意義（Z=7.323，P=0.034）。縫線骨 錨組2例合并骨質(zhì)疏松癥的NeerⅡ型骨折患者，術后2個月出現(xiàn)錨釘松動、拔出，骨折端移位，改用鎖骨鉤鋼板固定，4個月后骨 折愈合；LARS人工韌帶組1例患者，術后3周因跌倒致骨折遠端向上移位，患肢上舉時疼痛，行鎖骨遠端切除術后，疼痛消失， 肩關節(jié)功能恢復正常。結論：LARS人工韌帶重建喙鎖韌帶是治療鎖骨遠端不穩(wěn)定性骨折的一種理想方法。
Abstract:
Objective:To compare the curative effect of LARS artificial ligaments with that of suture anchors in the reconstruction of coracoclavicular ligaments for treating unstable distal clavicular fracture.Methods:For 42 patients with unstable distal clavicular fractures,male 27 cases,while female 15 cases;ages from 32 to 79 years with a median of 54 years old;twenty-six cases with left fractures,while the others with right fractures;twenty-seven cases with fractures combined with osteoporosis.For fractures classification,30 cases in Neer typeⅡ,while the others in Neer typeⅢ.All the patients were randomly divided into 2 groups,and they were administrated with LARS artificial ligaments and suture anchors to reconstruct coracoclavicular ligaments respectively.The situations of fracture healing and recovery of shoulder joint functions were observed,and the curative effects were compared between the 2 groups.Results:Patients in the 2 groups were all followed up for 6-16 months with a median of 11 months,and all the fractures were healed.The curative effects were evaluated in accordance with judging standards specified in JOA shoulder disorders evaluation scores.The curative effect of LARS artificial ligaments was better than that of suture anchors and there was statistical difference between the 2 groups(Z=7.323,P=0.034).Two months after the operation,2 patients with Neer typeⅡfractures and osteoporosis in suture anchors group were found with loosen or extracted anchors and displacement of fracture site.They were treated with clavicular hook plate fixation and the fractures healed up 4 months later.Three weeks after the operation,one patient in LARS artificial ligaments group was found with upward displacement of distal broken end of fractured clavicle for tumble.The patient felt pain when uplifting the affected limb,while the pain disappeared and shoulder joint function recovered after distal clavicular resection.Conclusion:Coracoclavicular ligaments reconstruction with LARS artificial ligaments is a kind of ideal method in the treatment of unstable distal clavicular fracture.

參考文獻/References:

[1]蔣協(xié)遠，王大偉.骨科臨床療效評價標準[M].北京：人民衛(wèi)生出版社，2005:83-84.
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備注/Memo

備注/Memo:
2011-03-02收稿2012-02-05修回
更新日期/Last Update: 2012-06-30