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[1]童文卿,董有海.解剖型多軸鎖定鋼板螺釘系統(tǒng)治療鎖骨中段粉碎性骨折[J].中醫(yī)正骨,2013,25(10):54-56.
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解剖型多軸鎖定鋼板螺釘系統(tǒng)治療鎖骨中段粉碎性骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年10期
頁(yè)碼:
54-56
欄目:
鎖骨骨折
出版日期:
2013-10-30

文章信息/Info

作者:
童文卿董有海
復(fù)旦大學(xué)附屬上海市第五人民醫(yī)院,上海 200240
關(guān)鍵詞:
鎖骨 骨折 骨折固定術(shù)內(nèi)
摘要:
目的:探討解剖型多軸鎖定鋼板螺釘系統(tǒng)治療鎖骨中段粉碎性骨折的臨床療效和安全性。方法:2010年9月至2011年12月,采用解剖型多軸鎖定鋼板螺釘系統(tǒng)治療鎖骨中段粉碎性骨折患者35例,男28例,女7例; 年齡23~64歲,中位數(shù)36歲; 左側(cè)16例,右側(cè)19例; 均為新鮮閉合性骨折; 合并顱腦損傷2例、肋骨骨折2例、肩胛骨骨折1例。術(shù)后觀察骨折愈合、肩關(guān)節(jié)功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:本組手術(shù)時(shí)間35~70 min,中位數(shù)45 min; 取髂骨植骨2例; 切口均甲級(jí)愈合。35例患者均獲隨訪,隨訪時(shí)間6~15個(gè)月,中位數(shù)11個(gè)月; 骨折均愈合,愈合時(shí)間8~24周,中位數(shù)16周。采用Neer肩關(guān)節(jié)評(píng)分法對(duì)患側(cè)肩關(guān)節(jié)功能進(jìn)行評(píng)價(jià),優(yōu)29例、良6例。無(wú)感染、內(nèi)固定物斷裂、骨折再移位及神經(jīng)、血管、胸膜損傷等并發(fā)癥發(fā)生。結(jié)論:解剖型多軸鎖定鋼板螺釘系統(tǒng)治療鎖骨中段粉碎性骨折,固定可靠、并發(fā)癥少、可早期進(jìn)行功能鍛煉,有利于骨折愈合和肩關(guān)節(jié)功能恢復(fù)。

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備注/Memo

備注/Memo:
2013-07-08收稿 2013-08-22修回
通訊作者:董有海 E-mail:[email protected]
更新日期/Last Update: 2013-10-30