84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]曹軍社,王星,陳伯亮,等.前置與上置重建鋼板內(nèi)固定治療成人鎖骨中段骨折的 比較研究[J].中醫(yī)正骨,2015,27(01):13-15.
　CAO Junshe,WANG Xing,CHEN Boliang,et al.A comparative study of internal fixation with praevia versus superior reconstruction plate for treatment of middle clavicular fractures in adults[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):13-15.
點(diǎn)擊復(fù)制

前置與上置重建鋼板內(nèi)固定治療成人鎖骨中段骨折的 比較研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年01期
頁(yè)碼:
13-15
欄目:
臨床研究
出版日期:
2015-01-15

文章信息/Info

Title:
A comparative study of internal fixation with praevia versus superior reconstruction plate for treatment of middle clavicular fractures in adults
作者:
曹軍社; 王星; 陳伯亮; 李軍
陜西省寶雞市中醫(yī)醫(yī)院,陜西 寶雞 721001
Author(s):
CAO Junshe; WANG Xing; CHEN Boliang; LI Jun
Baoji Hospital of Traditional Chinese Medicine,Baoji 721001,Shanxi,China
關(guān)鍵詞:
鎖骨;  骨折;  骨折固定術(shù); 內(nèi);  內(nèi)固定器;  治療; 臨床研究性
Keywords:
clavicle;  fractures;  fracture fixation; internal;  internal fixators;  therapies; investigational
摘要:
目的:比較前置與上置重建鋼板內(nèi)固定治療成人鎖骨中段骨折的臨床療效。方法:回顧性分析42例成人鎖骨中段骨折患者的病例資料,其中采用前置重建鋼板內(nèi)固定23例,采用上置重建鋼板內(nèi)固定19例; 左側(cè)28例,右側(cè)14例; 均符合Nowak等制定的鎖骨中段定位標(biāo)準(zhǔn)。比較2組患者的手術(shù)時(shí)間、術(shù)中出血量及骨折斷端內(nèi)、外側(cè)螺釘長(zhǎng)度。參照侯春林等制定的鎖骨骨折的療效標(biāo)準(zhǔn)評(píng)定2組患者的臨床療效。結(jié)果:①一般指標(biāo)。2組患者切口均甲級(jí)愈合,骨折均愈合。前置鋼板組骨折斷端內(nèi)、外側(cè)螺釘長(zhǎng)度均長(zhǎng)于上置鋼板組[(18.20±1.76)mm,(16.22±1.20)mm,t=2.836,P=0.011;(21.40±2.84)mm,(17.78±0.67)mm,t=3.370,P=0.002]。前置鋼板組患者術(shù)中出血量和手術(shù)時(shí)間與上置鋼板組比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義[(71.50±6.26)mL,(73.89±4.86)mL,t=0.921,P=0.370;(56.50±4.74)min,(53.89±6.01)min,t=1.057,P=0.305]。②臨床療效。前置鋼板組優(yōu)22例、良1例,上置鋼板組優(yōu)17例、良2例。2組患者臨床療效比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(Z=-0.765,P=0.445)。結(jié)論:對(duì)于成人鎖骨中段骨折而言,雖然前置與上置重建鋼板在術(shù)中出血量、手術(shù)時(shí)間和臨床療效方面無(wú)明顯差異,但是前置重建鋼板內(nèi)固定所用螺釘長(zhǎng)度長(zhǎng)于上置重建鋼板內(nèi)固定所用螺釘長(zhǎng)度,提示其把持力更強(qiáng)、更具備力學(xué)穩(wěn)定性,但還需進(jìn)一步的生物力學(xué)實(shí)驗(yàn)證實(shí)。
Abstract:
Objective:To compare the clinical curative effects of praevia versus superior reconstruction plate internal fixation for treatment of middle clavicular fractures in adults.Methods:The medical records of 42 adult patients with middle clavicular fracture were analyzed retrospectively,twenty-three patients(praevia plate group)were treated with praevia reconstruction plate internal fixation,while the others(superior plate group)were treated with superior reconstruction plate internal fixation.The fractures located in left side for 28 patients and right for 14 patients.The operative time,blood loss,length of medial and lateral screws were compared between the 2 groups.The clinical curative effects were also evaluated between the 2 groups.Results:All of the patients in the 2 groups got primary healing in the operative incisions and all fractures united.The length of medial and lateral screws was longer in praevia plate group compared to superior plate group(18.20+/-1.76 vs 16.22+/-1.20 mm,t=2.836,P=0.011; 21.40+/-2.84 vs 17.78+/-0.67 mm,t=3.370,P=0.002).There was no statistical difference in the operative time and blood loss between the 2 groups(71.50+/-6.26 vs 73.89+/-4.86 mL,t=0.921,P=0.370; 56.50+/-4.74 vs 53.89+/-6.01 min,t=1.057,P=0.305).Twenty-two patients obtained an excellent result and 1 good in praevia plate group,while 17 patients obtained an excellent result and 2 good in superior plate group.There was no statistical difference in the clinical curative effects between the 2 groups(Z=-0.765,P=0.445).Conclusion:There is no obvious difference in the operative time,blood loss and clinical curative effects between praevia and superior reconstruction plate internal fixation for treatment of adult middle clavicular fractures,while the screws used in praevia reconstruction plate internal fixation are longer than those of superior reconstruction plate internal fixation,suggesting that the former has much stronger pullout strength and better mechanical stability.However,the conclusion need to be verified by further biomechanical experiments.

參考文獻(xiàn)/References:

[1] Nowak J,Mallmin H,Larsson S.The aetiology and epidemiology of clavicular fractures.A prospective study during a two-year period in Uppsala,Sweden[J].Injury,2000,31(5):353-358.
[2] 王亦璁,姜保國(guó).骨與關(guān)節(jié)損傷[M].5版.北京:人民衛(wèi)生出版社,2012:718.
[3] 侯春林,王詩(shī)波,吳韜.鎖骨外科學(xué)[M].北京:人民軍醫(yī)出版社,2004:72.
[4] 毛炳焱,劉平均,賀用禮,等.新型自制髓內(nèi)釘置入髓內(nèi)橋接固定鎖骨中段骨折[J].中國(guó)組織工程研究與臨床康復(fù),2010,14(43):8028-8031.
[5] 盧旻鵬,王群波,趙波,等.重建鋼板上置與前置治療老年鎖骨中段骨折的療效分析[J].中華創(chuàng)傷雜志,2011,27(11):995-998.
[6] 鄧敦,曹成福,紀(jì)斌,等.重建鋼板前置法治療鎖骨骨折回顧性研究[J].中國(guó)中醫(yī)骨傷科雜志,2008,16(10):3-4.
[7] 吳明鮮.重建鋼板前置內(nèi)固定治療17例老年鎖骨骨折的療效分析[J].重慶醫(yī)學(xué),2009,38(14):1817-1818.
[8] 石繼祥,曹成福,石文俊,等.前置與上置重建鋼板固定鎖骨中段骨折生物力學(xué)性能比較[J].中國(guó)組織工程研究與臨床康復(fù),2010,14(13):2333-2336.
[9] Partal G,Meyers KN,Sama N,et al.Superior versus anteroinferior plating of the clavicle revisited:a mechanical study[J].J Orthop Trauma,2010,24(7):420-425.
[10] Collinge CA,Stern S,Cordes S,et al.Mechanical properties of small fragment screws[J].Clin Orthop Relat Res,2000,(373):277-284.
[11] 彭方成,王賢月,王鵬,等.前置重建鋼板治療鎖骨中段骨折[J].臨床骨科雜志,2011,14(5):509-510.

相似文獻(xiàn)/References:

[1]江濤,江林,史俊德,等.動(dòng)氣針法在踝關(guān)節(jié)骨折術(shù)后中后期康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(11):20.
　JIANG Tao,JIANG Lin,SHI Junde,et al.Application of Dongqi acupuncture(動(dòng)氣針法)to postoperative rehabilitation in the middle-late period in patients with ankle joint fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):20.
[2]許兵,葉小雨,王蕭楓,等.小管徑經(jīng)皮椎體后凸成形術(shù)治療 骨質(zhì)疏松性椎體重度壓縮骨折[J].中醫(yī)正骨,2015,27(11):29.
[3]王 強(qiáng).脛腓下聯(lián)合骨牽引配合手法整復(fù)小夾板外固定治療 兒童閉合移位性股骨干骨折[J].中醫(yī)正骨,2015,27(10):15.
[4]全先輝,萬(wàn)春友,劉磊,等.Taylor空間支架外固定治療脛腓骨開放性骨折[J].中醫(yī)正骨,2015,27(10):30.
[5]白晨平.微型鋼板內(nèi)固定治療掌指骨骨折[J].中醫(yī)正骨,2015,27(08):26.
[6]何 濤.帶尾孔髕骨針聯(lián)合纜索內(nèi)固定系統(tǒng)治療閉合性髕骨骨折[J].中醫(yī)正骨,2015,27(08):41.
[7]朱彥昭,申成春,蔣麗娜,等.早期手術(shù)修復(fù)踝關(guān)節(jié)骨折合并的三角韌帶完全斷裂[J].中醫(yī)正骨,2015,27(08):46.
[8]董正超,姚新苗.髕骨骨折的分型及內(nèi)固定治療進(jìn)展[J].中醫(yī)正骨,2015,27(08):58.
[9]李時(shí)軍,丁文軍,劉立春.恥骨下支應(yīng)力性骨折1例[J].中醫(yī)正骨,2015,27(08):74.
[10]劉昕,鄧志強(qiáng),葉家軍.大齡兒童肱骨外髁陳舊性骨折不愈合繼發(fā)肘外翻畸形的 分期手術(shù)治療[J].中醫(yī)正骨,2015,27(07):55.
[11]袁偉,周曉莉.T形掌指骨微型鋼板內(nèi)固定治療鎖骨近端骨折[J].中醫(yī)正骨,2015,27(10):47.
[12]王俊義.胸鎖鉤鋼板內(nèi)固定治療鎖骨近端骨折合并胸鎖關(guān)節(jié)脫位[J].中醫(yī)正骨,2016,28(05):40.
[13]章建新,謝偉,吳向科,等.鎖骨遠(yuǎn)端解剖鎖定鋼板聯(lián)合微型鎖定鋼板內(nèi)固定治療鎖骨遠(yuǎn)端骨折合并肩峰骨折[J].中醫(yī)正骨,2016,28(06):33.
[14]張圣魁,孫海忠.2種克氏針逆行固定方式治療鎖骨中段簡(jiǎn)單骨折的比較研究[J].中醫(yī)正骨,2017,29(01):27.
　ZHANG Shengkui,SUN Haizhong.A comparative study of two kinds of antidromic transfixation with Kirschner wire for treatment of middle clavicular simple fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(01):27.
[15]胡穎,徐衛(wèi)星,丁偉國(guó),等.解剖型鎖定鋼板內(nèi)固定治療NeerⅡ型鎖骨遠(yuǎn)端骨折[J].中醫(yī)正骨,2019,31(01):70.

備注/Memo

備注/Memo:
2014-02-13收稿 2014-09-14修回
更新日期/Last Update: 2015-01-30