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1、Endobutton钢板重建喙锁韧带治疗NeerII型锁骨远端骨折疗效分析(江苏大学附属医院骨科江苏镇江212001)【摘要】目的：探讨应用Endobutton钢板重建喙锁韧带治疗NeerII型锁骨远端骨折的临床疗效。方法：回顾性分析我院2012年7月至2015年8月采用Endobutton钢板治疗NeerII型锁骨远端骨折14例患者的临床资料，统计患者手术时间、住院时间、术中出血量、肩关节功能Constant-Murley评分(术前、术后1月、末次随访)并进行影像学检查评估骨折复位及愈合情况。结果：14例患者均获得随访，平
2、均随访时间(16.1±8.1)月(6〜28月)，平均手术时间为(87.2±11.5)min,平均住院时间为(6.1±2.3)天，平均术中出血量为(32.6±9.8)ml,术后1月Constant-Murley评分显著高于术前(P<0.05),且末次随访时Constant-Murley评分亦优于术后1月(P<0.05)。术后影像学检查提示骨折复位满意，14例患者均在术后3个月左右达到临床愈合。结论：应用Endobutton钢板重建喙锁韧带治疗NeerII型锁骨
3、远端骨折，骨折复位满意，肩关节功能恢复佳，且无需二次手术取出内植物，减轻了患者痛苦及经济负担。【关键词】锁骨远端骨折；Endobutton钢板；Constant-Murley评分【中图分类号】R683【文献标识码】A【文章编号】2095-1752(2016)29-0195-02EffectofcoracoclavicularligamentreconstructionusingEndobuttonforthetreatmentofNeertype2distalclaviclefractureSunYan,HuangYongh
4、ui,ZuoHua,LiDapeng,Correspondenceauthor.DepartmentofOrthopaedics,AffiliatedHospitalofJiangsuUniversity,Zhenjiang212001,China【Abstract]ObjectiveToinvestigatetheefficacyofcoracoclavicularligamentreconstructionusingEndobuttonforthetreatmentofNeertype2distalclaviclefra
5、cture.MethodsClinicaldataof14patientswithNeertype2distalclaviclefracturestreatedwithcoracoclavicularligamentreconstructionusingEndobuttoninourhospitalfromJuly2012toAugust2015wereretrospectivelyanalyzed・Theoperationtime,hospitalizationtime,bloodlossduringoperationan
6、dConstant-Murleyscores(preoperative,1monthaftersurgeryandfinalfollow-up)ofall14patientswererecorded.X・rayfilmswerealsotakentoevaluatethereductionandhealingoffractures.Results14patientswerefollowedupfor(16.1±8.1)months(6-28months),theaverageoperationtimewas(8
7、7.2±11.5)min,thehospitalizationtimewas(6.1±2.3)d,theaveragebloodlosswas(32.6±9.8)ml.TheConstant-Murleyscoreat1monthaftersurgerywassignificantlyhigherthanitbeforeoperation(P<0.05)zandtheConstant?Murleyscoreatfinalfollow-upwassignificantlyhigh
8、erthanitat1monthaftersurgery(P<0.05).Radiographsaftersurgeryshowedgoodreduction,andclinicalhealingwasachievedinall14patientsat3monthsaftersurg
