| 胸锁关节钩接骨板治疗急性不稳定性锁骨近端骨折 |
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投稿时间：2021-05-24
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| 作者 | Author | 单位 | Address | E-Mail |
| 孙方贵 |
SUN Fang-gui |
浙江大学明州医院骨科中心, 浙江 宁波 315000 |
The Orthopaedic Centre,Mingzhou Hospital of Zhejiang University,Ningbo 315000,Zhejiang,China |
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| 刘瑞 |
LIU Rui |
浙江大学明州医院骨科中心, 浙江 宁波 315000 |
The Orthopaedic Centre,Mingzhou Hospital of Zhejiang University,Ningbo 315000,Zhejiang,China |
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| 熊新为 |
XIONG Xin-wei |
浙江大学明州医院骨科中心, 浙江 宁波 315000 |
The Orthopaedic Centre,Mingzhou Hospital of Zhejiang University,Ningbo 315000,Zhejiang,China |
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| 徐荣明 |
XU Rong-ming |
浙江大学明州医院骨科中心, 浙江 宁波 315000 |
The Orthopaedic Centre,Mingzhou Hospital of Zhejiang University,Ningbo 315000,Zhejiang,China |
xu_rj@21cn.com |
| 张强理 |
ZHANG Qiang-li |
浙江大学明州医院骨科中心, 浙江 宁波 315000 |
The Orthopaedic Centre,Mingzhou Hospital of Zhejiang University,Ningbo 315000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2022年，第35卷，第10期，第1004-1007页 |
| DOI：10.12200/j.issn.1003-0034.2022.10.019 |
| 基金项目: |
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中文摘要:
目的:探讨胸锁关节钩接骨板治疗急性锁骨近端骨折的临床疗效。
方法:回顾性分析2016年6月至2019年6月收治的12例急性不稳定性锁骨近端骨折患者的临床资料,男8例,女4例;年龄46~63岁;车祸伤10例,高处坠落伤2例;均为多发伤患者;受伤至手术时间2~14 d。均选用国产胸锁关节钩接骨板手术治疗,手术用时40~115 min,术中出血量30~110 ml,随访时间10~36个月,骨折愈合时间8~18周。末次随访时采用肩关节功能评分(Rockwood评分)进行疗效评价。
结果:12例均获随访,末次随访无明显疼痛,患肩Rockwood评分13~14分,健肩14~15分。
结论:胸锁关节钩接骨板预弯型钢板固定贴服,悬梁设计保留胸锁关节活动度,手术安全简单,避免操作过程中损伤重要器官,预后良好,是治疗锁骨近端骨折的一种较为理想的固定方法。 |
| 【关键词】锁骨骨折|骨折固定术,内|骨板 |
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| Treatment of acute unstable proximal clavicular fracture with hook plate of sternoclavicular joint |
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ABSTRACT
Objective: To investigate clinical effect of sternoclavicular hook plate in treating acute proximal clavicle fracture.
Methods: The clinical of 12 patients with acute unstable proximal clavicle fracture from June 2016 to June 2019 were retrospectively analyzed. There were 8 males and 4 females,aged from 46 to 63 years old. Ten patients caused by car accident and 2 patients caused by high falling. All patients had multiple injuries;the time from injury to surgery ranged from 2 to 14 d. All patients were treated with domestic sternoclavicular joint hook plate. The operative time ranged from 40 to 115 min. The intraoperative bleeding volume ranged from 30 to 110 ml,follow-up time ranged from 10 to 36 months,the fracture healing time ranged from 8 to 18 weeks. At the latest follow-up,the efficacy was evaluated by using shoulder joint function score (Rockwood score).
Results: All 12 patients were followed up,with no obvious pain at the latest follow-up. The rockwood scores of the affected shoulder ranged from 13 to 14,and the healthy shoulder ranged from 14 to 15.
Conclusion: The sternocleidoclavicular joint plate is fixed with preformed plate. The cantilever is designed to retain the motion of the sternoclavicular joint. It's safe and simple,avoid,the injury of important organs during operation,and has a good prognosis. It is an ideal fixation method for the treatment of proximal clavicle fracture. |
| KEY WORDS Clavicle fractures|Fracture fixation,internal|Bone plates |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 孙方贵,刘瑞,熊新为,徐荣明,张强理.胸锁关节钩接骨板治疗急性不稳定性锁骨近端骨折[J].中国骨伤,2022,35(10):1004~1007 |
| 英文格式: | SUN Fang-gui,LIU Rui,XIONG Xin-wei,XU Rong-ming,ZHANG Qiang-li.Treatment of acute unstable proximal clavicular fracture with hook plate of sternoclavicular joint[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(10):1004~1007 |
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