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ID:26383033
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页数:5页
时间:2018-11-26
《锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位论文》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位论文.freelioclaviculardislocationandNeerⅠtypedistalendofcollarbonefracture.Methods68casesofcollar-bonefractureacceptedbyourdepartmentfromFebruaryof2002toJanuaryof2005onthsafteroperation.ResultsAdoptLazzcanostandardtoevaluatethepatient’sf
2、unctionaftertheoperation.68casesincludingexcellent66andgood2havenoinjuryofsubclaviannerveandbloodvessel,infection,looseandprolapseofinternalfixationdevicesandfracturedisunionandmalunion.X-rayshoioclaviculardislocation.Thepatientscangetpainlessfree-running
3、.ConclusionCollar-bonehooknickelcladutilizestheleverprincipleandtheintensityofnickelcladitselftoopposethetractionforceofsternomastoidmuscleandavoidprolapse.Asnotdamagingtheacromioclavicularfacet,itcanavoidandreducethetraumaticarthritiscausedbydevicessucha
4、sKirschnerethodcharacterizedbylittlelyand 锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位论文.freelioclaviculardislocationandNeerⅠtypedistalendofcollarbonefracture.Methods68casesofcollar-bonefractureacceptedbyourdepartmentfromFebruaryof2002toJanuaryof2005onthsafteroperation.ResultsA
5、doptLazzcanostandardtoevaluatethepatient’sfunctionaftertheoperation.68casesincludingexcellent66andgood2havenoinjuryofsubclaviannerveandbloodvessel,infection,looseandprolapseofinternalfixationdevicesandfracturedisunionandmalunion.X-rayshoioclaviculardisloc
6、ation.Thepatientscangetpainlessfree-running.ConclusionCollar-bonehooknickelcladutilizestheleverprincipleandtheintensityofnickelcladitselftoopposethetractionforceofsternomastoidmuscleandavoidprolapse.Asnotdamagingtheacromioclavicularfacet,itcanavoidandredu
7、cethetraumaticarthritiscausedbydevicessuchasKirschnerethodcharacterizedbylittlelyandmovingthejointearlyisaeffectivemethodtocuredistalcollarbonefractureandacromioclaviculardislocation.【Keyioclaviculardislocation锁骨远端骨折及肩锁关节脱位往往伴有喙锁韧带及肩锁韧带的断裂,造成锁骨远端向上向后移动,此类
8、骨折脱位临床上较为多见,根据锁骨钩钢板的设计符合肩锁关节局部解剖特点和生物力学特性,我院近3年来用锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位。临床实践表明此方法固定牢固,患者能早期活动肩关节,避免出现内固定松动、骨折、脱位、移位等并发症。1资料与方法1.1一般资料本组68例,男50例,女18例,年龄21~64岁,平均32岁,均为新鲜骨折,受伤至手术时间1~3天,所有病例均采用锁骨钩钢板治疗。1.2手术方法上臂丛麻醉,平卧位,患肩
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