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Herbert螺钉在骨科临床中应用50例分析
引用本文:韩志强,狄东华,陈永华,聂明军. Herbert螺钉在骨科临床中应用50例分析[J]. 中国煤炭工业医学杂志, 2012, 15(10): 1487-1489
作者姓名:韩志强  狄东华  陈永华  聂明军
作者单位:江苏大学附属医院骨科,江苏省镇江市,212001
摘    要:目的 探讨Herbert螺钉内固定的疗效.方法 2007年3月-2010年12月应用Herbert螺钉治疗不同部位骨折50例,其中腕舟骨折组9例,内踝骨折组9例,外踝骨折伴下胫腓分离5例,三踝骨折5例.桡骨头骨折组5例,股骨头骨折组5例,距骨颈骨折2例,前交叉韧带2例,股骨髁骨折2例,后交叉韧带2例,趾骨折1例,肱骨大结节撕脱骨折1例,髂前上棘撕脱骨折1例,胫骨近端骨折1例.结果 平均随访1年1个月(7个月~3年),分别按改良Mayo法、改良Cassebaum法、Epstein法、Kofoed评定,优良率分别为94.7%、96%、80%、90%.结论 Herbert螺钉能提供牢固的内固定,随访稳定,是关节内骨折及撕脱骨折较理想的内固定材料.

关 键 词:Herbert螺钉  骨折,不同部位  内固定

EXPERIENCE OF APPLICATION OF HERBERT SCREW FIXATION FOR ORTHOPEDICS PATIENTS:50 CASES REPORT
Affiliation:Han Zhiqiang,Di Donghua,Chen Yonghua,et al.Department of Orthopaedics,The First Affiliated Hospital of JiangSu University,ZhenJiang 212001,China
Abstract:Objective To investigate the clinical application of Herbert screw in fracture internal fixation.Methods From 2007 to 2010,fifty patients of different parts of fracture treated with Herbert screw were followed up effectively,including scaphoid fracture group of 9 cases,the radial head fracture group of 5 cases,the femoral head fracture group of 5 cases,et al.Results After an average follow up time of 1 year and 1 month(ranged,7months-3years),the good to excellent rates were 94.7%,96%,80%,90% according to the modified Mayo score,the Broberg Morrey score,the Epstein score and Kofoed score.Conclusion The Herbert screw can provide strong fixation and stability in the long-term follow-up.It is an ideal material in treating different parts of fractures.
Keywords:Herbert screw  Different parts of fracture  Internal fixation
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