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[1]郝剛,劉耀波.縫合錨聯(lián)合解剖型鎖定鋼板內(nèi)固定治療CraigⅡB型鎖骨遠(yuǎn)端骨折[J].中醫(yī)正骨,2022,34(06):66-68.
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縫合錨聯(lián)合解剖型鎖定鋼板內(nèi)固定治療CraigⅡB型鎖骨遠(yuǎn)端骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年06期
頁碼:
66-68
欄目:
臨床報(bào)道
出版日期:
2022-06-20

文章信息/Info

作者:
郝剛劉耀波
(山西省中醫(yī)院,山西 太原 030001)
關(guān)鍵詞:
肩骨折 鎖骨 骨折固定術(shù)內(nèi) 縫合錨 骨板 桃紅四物湯
摘要:
目的:觀察縫合錨聯(lián)合解剖型鎖定鋼板內(nèi)固定治療CraigⅡB型鎖骨遠(yuǎn)端骨折的臨床療效及安全性。方法:2016年5月至2019年5月,采用縫合錨聯(lián)合解剖型鎖定鋼板內(nèi)固定治療鎖骨遠(yuǎn)端骨折患者11例,術(shù)后輔助應(yīng)用桃紅四物湯加減(連續(xù)服用4周)。均為閉合性鎖骨遠(yuǎn)端骨折患者,其中男8例、女3例; 年齡23~42歲,中位數(shù)32歲; 左側(cè)6例,右側(cè)5例。按照鎖骨遠(yuǎn)端骨折的Craig分型標(biāo)準(zhǔn),均為ⅡB型。受傷至手術(shù)時(shí)間1~4 d,中位數(shù)2 d。術(shù)后隨訪觀察骨折愈合及并發(fā)癥發(fā)生情況,采用Constant-Murley肩關(guān)節(jié)功能評(píng)分評(píng)價(jià)肩關(guān)節(jié)功能,采用上肢功能障礙(disabilities of the arm,shoulder and hand,DASH)評(píng)分評(píng)價(jià)綜合療效。結(jié)果:所有患者均獲隨訪,隨訪時(shí)間12~15個(gè)月,中位數(shù)13個(gè)月。所有患者骨折均愈合,愈合時(shí)間12~14周,中位數(shù)13周。末次隨訪時(shí),健側(cè)喙鎖間距(8.5±1.1)mm,患側(cè)喙鎖間距(8.7±1.0)mm; Constant-Murley肩關(guān)節(jié)功能評(píng)分(92.6±2.9)分; DASH評(píng)分(8.5±4.3)分。至末次隨訪時(shí),所有患者均未出現(xiàn)骨折不愈合和內(nèi)固定物松動(dòng)等并發(fā)癥。結(jié)論:縫合錨聯(lián)合解剖型鎖定鋼板內(nèi)固定治療CraigⅡB型鎖骨遠(yuǎn)端骨折,骨折愈合率高、肩關(guān)節(jié)功能恢復(fù)良好、綜合療效好、安全性高。

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(收稿日期:2022-03-05 本文編

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通訊作者:郝剛 E-mail:[email protected]
更新日期/Last Update: 1900-01-01