形状记忆合金环抱器和重建钢板治疗锁骨粉碎性骨折对比研究(1)
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【摘 要】 目的:比较形状记忆合金抱骨器和重建钢板治疗锁骨粉碎性骨折的临床疗效。方法:46例锁骨粉碎性骨折随机分为A组22例采用形状记忆合金环抱器固定,B组24例采用重建钢板固定。记录所有病例手术时间及术后住院日,术后随访根据术后X线片及肩关节功能恢复情况评定疗效。结果:形状记忆合金抱骨器组比重建钢板组手术时间显著缩短(P<0.05),两组术后住院日无显著差异(P>0.05)。术后随访结果形状记忆合金抱骨器组优16例,良5例,可1例;重建钢板组优17例,良4例,可1例,差1例。结论:形状记忆合金抱骨器是治疗锁骨粉碎性骨折的有效方法,且具有手术时间短,创伤小等优点。
【关键词】 锁骨粉碎性骨折 形状记忆合金环抱器 重建钢板
Comparative study for shape memory alloy embracing and reconstruction plate for comminuted clavicular treatment
Xu Yuehong,et al
【Abstract】 Objective:To compare the shape memory alloy have bone and reconstruction plate for the treatment of comminuted fracture of the clavicle clinical efficacy. Methods: 46 cases of clavicle comminuted fracture were randomly divided into A group of 22 cases of the use of shape memory alloy embracing fixed, B group of 24 cases use reconstruction plate. Records of all cases of operative time and postoperative hospital stay, postoperative follow-up X-ray film in accordance with postoperative functional recovery and shoulder evaluated. Results: Shape memory alloy have bone group than the reconstruction plate group significantly shorter operative time(P>0.05), postoperative hospital stay were not significantly different (P0.05)(见表Ⅰ),所有病例均获得随访,时间6~24个月,平均12个月,两组优良率无显著性差异(P>0.05)(见表Ⅱ)。
3 讨 论
传统观点认为锁骨是非承重骨,复位要求相对不高,骨折可通过手法复位及“8”字绷带外固定治疗。但近年临床发现非手术治疗常使骨折复位不确切,骨折畸形愈合及再移位,影响外观,患肢外展上举功能受限,肌力减弱及胸廓出口综合征等[3]。随着人们生活水平提高对锁骨骨折后功能恢复及美观提出更高要求,对锁骨骨折特别是粉碎性骨折尽量内固定予解剖复位。, http://www.100md.com(张守会 岳晶海)