共查询到20条相似文献,搜索用时 62 毫秒
1.
2.
3.
4.
重建钢板治疗锁骨骨折75例 总被引:2,自引:1,他引:1
2002年1月~2009年1月,我科对75例锁骨骨折患者采用重建钢板内固定治疗,取得满意疗效。1材料与方法1.1病例资料本组75例,男51例,女24例,年龄18~67岁。左侧45例,右侧30例。骨折类型:横断形13例,斜形15例,粉碎性47例。损伤部位:中段骨折14例,中外侧骨折61例,均为新鲜闭合性骨折,其中11例合并同侧肋骨骨折。 相似文献
5.
6.
重建钢板治疗锁骨骨折 总被引:10,自引:2,他引:8
锁骨骨折在临床上比较常见 ,一般主张保守治疗 ,但因复位容易 ,固定困难 ,致使骨折再移位 ,畸形愈合或不愈合 ,影响肩关节活动。 1999年 2月~2 0 0 1年 3月 ,我们采用切开复位重建钢板内固定治疗锁骨骨折 2 3例 ,取得了满意疗效。1 材料与方法1.1 病例资料 本组 2 3例 ,男 17例 ,女 6例 ,年龄 18~ 6 4岁。车祸伤 14例 ,坠落伤 9例 ;左侧 15例 ,右侧 8例 ;横形和短斜形骨折 12例 ,粉碎性骨折 11例。均为新鲜骨折 ,合并其他损伤 11例。伤后 1~ 12天接受手术治疗。1.2 手术方法 患者仰卧位 ,患侧肩部垫高 ,颈丛麻醉。以骨折处为中心做… 相似文献
7.
钢板内固定治疗锁骨骨折 总被引:3,自引:0,他引:3
我们采用切开复位钢板内固定治疗不稳定型锁骨骨折65例 ,取得满意疗效 ,现报告如下。1 临床资料本组 65例 ,男 41例 ,女 2 4例 ;年龄 1 2~ 54岁 ,平均 35岁。受伤至手术时间 1~ 6天 ,平均 4天。骨折类型包括 :短斜形 1 2例 ,长斜形 34例 ,粉碎性 1 9例。骨折部位 :中段 31例 ,外段 2 2例 ,内段 1 2例。选用钢板 :4孔钢板 34例 ,6孔钢板 2 1例 ,重建钢板 1 0例。2 治疗方法 仰卧位 ,患侧肩胛部垫一薄垫 ,采用高位臂丛麻醉。以骨折为中心沿锁骨上缘做一约 3~ 5cm长之横切口 ,显露断端。沿纵轴切开骨膜 ,少许剥离后 ,撬拨并牵引使骨… 相似文献
8.
2003年3月~2010年11月,我院共收治198例锁骨中段骨折患者,对其中115例住院患者采用切开复位重建钢板内固定治疗,取得满意疗效。1材料与方法1.1病例资料本组115例,男97例, 相似文献
9.
10.
锁骨骨折约占全身骨折的1.6%[1].传统的治疗方法多采用手法复位加双圈固定或切开复位克氏针、钢丝内固定,疗效不甚满意.我院2000年5月-2003年10月应用重建钢板治疗76例,取得满意疗效,报告如下. 相似文献
11.
接骨板前置桥接内固定治疗不稳定性锁骨骨折 总被引:1,自引:1,他引:0
[目的]探讨接骨板前置桥接内固定治疗不稳定性锁骨骨折的疗效。[方法]自2001年2月~2006年3月对37例不稳定性锁骨中1/3段骨折进行了切开复位接骨板前置桥接内固定手术治疗,其中男28例,女9例,年龄19~69岁,平均43岁。骨折属于锁骨中1/3段骨折,均为闭合伤。本组所有病例均为初次受伤,无同时合并神经血管损伤,X线片显示:骨折呈粉碎状,骨折端有一或多枚碎骨块,骨折断端均有移位,且都有锁骨骨折重叠。[结果]病人全部获随访,随访时间10~30月,平均13个月。切口均甲级愈合,无血管神经损伤,无血气胸。术后平均12周达骨性愈合。按所选评定标准,本组优29例,良6例,尚可2例,差0例。无螺钉松动及拔出现象,优良率94.59%。[结论]应用接骨板前置桥接内固定,可以减少接骨板的预弯难度,有利于增加接骨板的强度、螺钉的把持力,加强固定的稳定性,同时桥接固定又可以保护骨折处血供,减少骨折不愈合,是内固定治疗锁骨中1/3处不稳定性骨折的一种简易有效的方法。 相似文献
12.
This randomised study compared outcomes in patients with displaced fractures of the clavicle treated by open reduction and fixation by a reconstruction plate which was placed either superiorly or three-dimensionally. Between 2003 and 2006, 133 consecutive patients with a mean age of 44.2 years (18 to 60) with displaced midshaft fractures of the clavicle were allocated randomly to a three-dimensional (3D) (67 patients) or superior group (66). Outcome measures included the peri-operative outcome index, delayed union, revision surgery and symptoms beyond 16 weeks. CT was used to reconstruct an image of each affected clavicle and Photoshop 7.0 software employed to calculate the percentage of the clavicular cortical area in the sagittal plane. The patients were reviewed clinically and radiographically at four and 12 months after the operation. The superior plate group had a higher rate of delayed union and had more symptomatic patients than the 3D group (p < 0.05). The percentage comparisons of cortical bone area showed that cortical bone in the superior distal segment is thicker than in the inferior segment, it is also thicker in the anterior mid-section than in the posterior (p < 0.05). If fixation of midshaft fractures of the clavicle with a plate is indicated, a 3D reconstruction plate is better than one placed superiorly, because it is consistent with the stress distribution and shape of the clavicle. 相似文献
13.
锁骨钢板治疗锁骨中段粉碎性骨折 总被引:5,自引:2,他引:3
[目的] 探讨应用解剖型锁骨钢板治疗锁骨中段粉碎性骨折的临床价值。[方法] 应用锁骨钢板治疗锁骨中段粉碎性骨折2l例。[结果] 21例均得到随访,时间6~14个月,所有病例骨折均于术后8~12周临床愈合,无感染、骨不连、内固定松动、再骨折等发生。[结论] 鉴于锁骨中段骨折的特点,应用解剖型的锁骨钢板,有手术时间短、出血少、并发症少、内固定坚强、可早期进行患肩功能锻炼等优点。 相似文献
14.
15.
《Injury》2023,54(6):1617-1624
IntroductionFracture of the medial end of the clavicle is very rare. There is no consensus on the standard surgical strategy for medial clavicle fracture, and treatment is challenging. This study aimed to retrospectively evaluate the efficacy of internal plate fixation for displaced medial clavicle fracture.MethodsPatients who underwent internal plating of a displaced medial clavicle fracture were included in this retrospective study. Each patient underwent open reduction and fixation with an internal extra-articular locking plate or trans-articular hook plate based on their fracture type. Postoperative follow-up included radiographs for assessment of bone union, Constant-Murley score for shoulder function, Disability of the Arm, Shoulder, and Hand (DASH) questionnaire for upper limb function, and visual analog scale (VAS) for pain. Any complications were also recorded.ResultsBetween May 2014 and July 2021, 34 patients (9 females, 25 males; mean age, 50.0 ± 14.8 years) were treated with internal plate fixation and included in this study. The fracture line was located in the medial fifth of the clavicle in 32 patients, and 20 patients had intra-articular fracture. Eighteen patients had the fracture fixed with a locking plate, namely an inverted distal clavicle plate (n = 7), straight locking plate (n = 3), distal fibular plate (n = 3), and T-plate (n = 5); the other 16 patients were treated with a clavicle hook plate. During a mean follow-up of 30.7 ± 26.5 months, 33 patients achieved bone healing, the average Constant-Murley score was 90.9 ± 11.0 points, the mean DASH score was 6.0 ± 6.6 points, and the mean VAS was 0.4 ± 1.1 points. Complications occurred in five patients.ConclusionsBoth locking plates and hook plates are effective in treating displaced medial clavicle fracture. A locking plate is recommended when there is enough bone stock in the medial fragment for stable fixation. A clavicle hook plate is recommended for cases in which the medial clavicle fracture is too small, comminuted, or has signs of sternoclavicular joint instability. 相似文献
16.
17.
18.
19.
2007年1月~2010年6月,我科采用切开复位股骨髁锁定钢板结合重建锁定钢板内固定治疗股骨远端骨折28例,疗效满意,报道如下。1材料与方法1.1病例资料本组28例,男20例, 相似文献
20.