[1]童文卿,董有海.解剖型多轴锁定钢板螺钉系统治疗锁骨中段粉碎性骨折[J].中医正骨,2013,25(10):54-56.
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解剖型多轴锁定钢板螺钉系统治疗锁骨中段粉碎性骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期数:
2013年10期
页码:
54-56
栏目:
锁骨骨折
出版日期:
2013-10-30

文章信息/Info

作者:
童文卿董有海
复旦大学附属上海市第五人民医院,上海 200240
关键词:
锁骨 骨折 骨折固定术
摘要:
目的:探讨解剖型多轴锁定钢板螺钉系统治疗锁骨中段粉碎性骨折的临床疗效和安全性。方法:2010年9月至2011年12月,采用解剖型多轴锁定钢板螺钉系统治疗锁骨中段粉碎性骨折患者35例,男28例,女7例; 年龄23~64岁,中位数36岁; 左侧16例,右侧19例; 均为新鲜闭合性骨折; 合并颅脑损伤2例、肋骨骨折2例、肩胛骨骨折1例。术后观察骨折愈合、肩关节功能恢复及并发症发生情况。结果:本组手术时间35~70 min,中位数45 min; 取髂骨植骨2例; 切口均甲级愈合。35例患者均获随访,随访时间6~15个月,中位数11个月; 骨折均愈合,愈合时间8~24周,中位数16周。采用Neer肩关节评分法对患侧肩关节功能进行评价,优29例、良6例。无感染、内固定物断裂、骨折再移位及神经、血管、胸膜损伤等并发症发生。结论:解剖型多轴锁定钢板螺钉系统治疗锁骨中段粉碎性骨折,固定可靠、并发症少、可早期进行功能锻炼,有利于骨折愈合和肩关节功能恢复。

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备注/Memo

备注/Memo:
2013-07-08收稿 2013-08-22修回
通讯作者:董有海 E-mail:losary@126.com
更新日期/Last Update: 2013-10-30