| 桥接系统治疗成人锁骨中段骨折临床应用初探 |
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投稿时间：2018-04-20 修订日期：2018-07-11
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| 期刊信息：《中国骨伤》年，第卷，第期，第-页 |
| DOI： |
| 基金项目:国家卫生和计划生育委员会医药卫生科技发展研究中心课题(W2015QJ056) |
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| 中文摘要:【摘要】目的： 探讨桥接系统治疗成人锁骨中段骨折的临床疗效。方法：自2016年1月至2016年8月采用切开复位桥接系统内固定治疗28例成人锁骨中段骨折患者，其中男15例，女13例；年龄27～82（48.50±15.34）岁；病程13～15（14.17±0.77）个月，记录患者骨折愈合时间及并发症情况，并对术前，术后1、12个月及13个月的肩关节Constant评分进行疗效评价。结果：28例患者骨折均达到临床愈合标准，愈合时间2.5～4（3.05±0.44）个月，术后未出现感染、骨不连、延迟愈合、内固定物断裂及内固定取出后再骨折病例。28例患者获得随访，时间13～15个月（14.17±0.77）个月。术后1、3和13个月患侧肩关节Constant评分分别为76.57±4.70、90.75±3.62、96.07±2.40，与术前58.36±4.98比较差异有统计学意义 (P<0.05)。结论：桥接系统可以作为治疗成人锁骨中段骨折的一种新型内固定方式，具有恢复快、并发症少的特点，可以降低内固定物断裂、应力下骨质疏松、内固定取出后再骨折的风险。
关键词 桥接系统；锁骨中段骨折；圆棒；模块 |
| 【关键词】桥接系统、锁骨中段骨折、圆棒、模块 |
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| Clinical application of bridge-link type combined fixation system to adult clavicle fractures |
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| ABSTRACT ABSTRACT Objective：This article discusses the effect of Bridge-link type combined fixation system in treating displaced mid-shaft clavicle fractures and provides theoretical reference for the application of Bridge-link type combined fixation system technology. Methods: From January 2016 to August 2016, 28 cases of displaced mid-shaft clavicle fractures were treated by Bridge-link type combined fixation system. A total of 15 males and 13 females, aging from 27 ~ 82 years old with an average of 48.50±15.34 years were enrolled in this study. The duration of the disease was 13 to 15 months, with an average of 14.17±0.77 months. The patient''s fracture healing time , shoulder joint Constant function score of the preoperative，1 month ,1 year postoperative and 1 month after removing of the internal fixation were graded. Results: All the patients were followed up for 13 to 15 months with an average of 14.17±0.77 months. 28 patients achieved clinical healing of fracture criteria, counterpoint good and on line, fracture healing time was from 2.5 to 4 months with an average of 3.05±0.44 months. All patients have removed the internal fixation, there were no cases of infection, bone nonunion, delayed healing, breakage of internal fixation and re-fracture after removing of the internal fixation. Shoulder joint Constant function scores of the preoperative，1 month ,3 months,13 months after operation were 58.36±4.98, 76.57±4.70, 90.75±3.62, 96.07±2.40, respectively , with significant differences compared with the scores of the preoperative(P<0.05). Conclusions: Bridge-link type combined fixation system can be used as a new internal fixation for the displaced mid-shaft clavicle fractures, it has the characteristics of rapid recovery, fewer complications and can reduce the incidence of breakage of internal fixation, osteoporosis, re-fractures after removing the internal fixation.
KEYWORDS Bridge-link type combined fixation system, displaced mid-shaft clavicle fractures, Band, Module |
| KEY WORDS Bridge-link type combined fixation system, Clavicle fracture, Band, Module |
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