应用t型锁定钢板跨胸锁关节固定治疗锁骨近端移位骨折

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1、目录中文摘要······································································································1英文摘要······································································································2英文缩写·······································

2、·······························································3研究论文应用T型锁定钢板跨胸锁关节固定治疗锁骨近端移位骨折前言······································································································4材料与方法························································

3、········································5结果······································································································8附图······································································································9附表······

4、································································································11讨论······································································································15结论·····················································

5、·················································20参考文献······························································································20综述锁骨近端骨折临床治疗进展现状·············································23致谢···········································

6、···························································36个人简历······································································································37中文摘要应用T型锁定钢板跨胸锁关节固定治疗锁骨近端移位骨折摘要目的：探讨T型桡骨远端锁定钢板跨胸锁关节固定治疗锁骨近端移位骨折的疗效。方法：对2014年10月-2017年6月期间收

7、治的11例移位的锁骨近端骨折患者，应用切开复位T型桡骨远端锁定钢板跨胸锁关节固定进行手术治疗。记录患者的手术时间，出血量，合并伤，伤口愈合及并发症情况。术后随访，观察患者的骨折愈合情况及肩关节功能，末次随访时采用Constant-Murley评分标准和DASH评分标准评价患肢功能。结果：本组患者手术时间中位数为45min（范围30-60min），术中出血量中位数为80ml(范围50-100ml)。所有患者术后均获得随访。术后X线检查显示骨折复位良好，内固定可靠。伤口未出现感染，皮肤坏死，随访术后6个月骨折均愈合，

8、无骨折不愈合或畸形愈合等并发症发生，未出现钢板断裂，螺钉拔出。Constant-Murley肩关节功能评分为（92.5±1.5）分，DASH评分为（4.6±0.8）分。结论：T型锁定钢板跨胸锁关节固定治疗锁骨近端移位骨折安全、有效并且可实现骨折愈合和良好的功能结果。关键词：锁骨近端骨折,移位,T型桡骨远端锁定钢板,跨胸锁关节固定,疗效1英文摘要Treatmentofmed