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重建钢板前置内固定治疗老年锁骨骨折的疗效分析 被引量:8

Efficacy of clavicular fracture of old patients with reconstruction plate fixation which preposed clavicular
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摘要 目的探讨前侧放置重建钢板内固定治疗老年锁骨骨折的疗效。方法对巴南区人民医院2006年4月至2009年1月收治的17例行前侧放置重建钢板的老年锁骨骨折患者进行随访观察,并记录骨折愈合时间、相关并发症及肩关节功能恢复情况。结果17例患者中,16例达骨性愈合,1例因术后1年骨不愈合再次行植骨术后半年达骨性愈合。骨折愈合时间2个月至1.5年,平均5.5个月。无神经、血管损伤,无气胸。肩关节功能按Lazzcano功能评定标准:优11例,良5例,差1例,优良率94.1%。结论前侧放置重建钢板治疗老年锁骨骨折安全有效,是一种值得推荐的有效术式。 Objective To study the efficacy of clavicular fracture of the old patients with reconstruction plate fixation which placed the anterior of clavicular. Methods From April 2006 to January 2009,17 patients with clavicular fracture were treated with reconstruction plate fixation which placed the anterior of clavicular. The fracture healing time, related complications and postoperative recovery of shoulder joint function were recorded. Results Among 17 patients,bone union was achieved in 16 cases. One case was bone grafting because bone nonunion at one year postoperative, which achieved bone union at 6 month postoperative. There had no injury of blood vessel and nerve. No pneumothorax. According to Lazzcano shoulder joint function evaluation, the excellent,good and fair were 11,5 and 1 cases respectively. The excellent and good rate was 94.1% . Conclusion The technique of plancing reconstruction plate fixation at the anterior of clavicular is a very efficacious means in the treatment of the old patient s clavicular frac ture,and it is a recommendable operative method.
作者 向阳
出处 《重庆医学》 CAS CSCD 北大核心 2009年第23期2992-2993,共2页 Chongqing medicine
关键词 锁骨骨折 前侧 重建钢板 内固定 老年患者 clavicular fracture anterior reconstruction plate internal fixation old patient
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