目的
总结解剖锁定板联合聚酯缝线固定治疗 NeerⅡB 型锁骨远端骨折的临床疗效。
方法
2013 年 8 月—2015 年 12 月,采用解剖锁定板联合聚酯缝线固定治疗 12 例 Neer ⅡB 型锁骨远端骨折患者。男 4 例,女 8 例;年龄 21~62 岁,平均 42.4 岁。致伤原因:交通事故伤 8 例,摔伤 3 例,高处坠落伤 1 例。受伤至手术时间 2~10 d,平均 4.5 d。X 线片测量患侧喙锁间距(coracoclavicular distance,CCD)为(12.4±3.5)mm。
结果
术后患者切口均 Ⅰ 期愈合,无手术相关并发症发生。12 例患者均获随访,随访时间 10~27 个月,平均 19.6 个月。X 线片复查示骨折均愈合,愈合时间 3~6 个月,平均 3.7 个月。术后 2 d 及末次随访时 CCD 分别为(8.9±1.3)、(9.3±1.3)mm,与术前比较差异有统计学意义(P<0.05);术后 2 d 及末次随访时比较,差异无统计学意义(P>0.05)。末次随访,患肩关节功能 Constant-Murley 评分为(94.8±6.9)分;优 9 例,良 2 例,可 1 例,优良率 91.7%。
结论
解剖锁定板联合聚酯缝线固定治疗 Neer ⅡB 型锁骨远端骨折疗效满意、并发症少,且手术操作相对简便、安全。
Citation:
朱立帆, 曾金才, 蒋富贵, 吴卫东, 钱学峰, 鞠文. 解剖锁定板联合聚酯缝线固定治疗 Neer
ⅡB 型锁骨远端骨折
. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(6): 760-761. doi: 10.7507/1002-1892.201612089
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Copyright © the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
1. |
Sambandam B, Gupta R, Kumar S, et al. Fracture of distal end clavicle: A review. J Clin Orthop Trauma, 2014, 5(2): 65-73.
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2. |
Schliemann B, Rosslenbroich SB, Schneider KN, et al. Surgical treatment of vertically unstable lateral clavicle fractures (Neer 2b) with locked plate fixation and coracoclavicular ligament reconstruction. Arch Orthop Trauma Surg, 2013, 133(7): 935-939.
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3. |
Shin SJ, Ko YW, Lee J, et al. Use of plate fixation without coracoclavicular ligament augmentation for unstable distal clavicle fractures. J Shoulder Elbow Surg, 2016, 25(6): 942-948.
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4. |
Sajid S, Fawdington R, Sinha M. Locking plates for displaced fractures of the lateral end of clavicle: Potential pitfalls. Int J Shoulder Surg, 2012, 6(4): 126-129.
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5. |
Bishop JY, Roesch M, Lewis B, et al. A biomechanical comparison of distal clavicle fracture reconstructive techniques. Am J Orthop (Belle Mead NJ), 2013, 42(3): 114-118.
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6. |
刘玉杰, 周密, 李众利, 等. 关节镜下复位固定治疗胫骨髁间隆突撕脱性骨折.重庆医学, 2006, 35(20): 1845-1847.
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7. |
陈青植, 余跃伟, 宋宏宇, 等. 自制过线器线缆微创内固定治疗 Neer Ⅱ 型锁骨远端骨折疗效观察. 中国修复重建外科杂志, 2016, 30(5): 653-654.
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- 1. Sambandam B, Gupta R, Kumar S, et al. Fracture of distal end clavicle: A review. J Clin Orthop Trauma, 2014, 5(2): 65-73.
- 2. Schliemann B, Rosslenbroich SB, Schneider KN, et al. Surgical treatment of vertically unstable lateral clavicle fractures (Neer 2b) with locked plate fixation and coracoclavicular ligament reconstruction. Arch Orthop Trauma Surg, 2013, 133(7): 935-939.
- 3. Shin SJ, Ko YW, Lee J, et al. Use of plate fixation without coracoclavicular ligament augmentation for unstable distal clavicle fractures. J Shoulder Elbow Surg, 2016, 25(6): 942-948.
- 4. Sajid S, Fawdington R, Sinha M. Locking plates for displaced fractures of the lateral end of clavicle: Potential pitfalls. Int J Shoulder Surg, 2012, 6(4): 126-129.
- 5. Bishop JY, Roesch M, Lewis B, et al. A biomechanical comparison of distal clavicle fracture reconstructive techniques. Am J Orthop (Belle Mead NJ), 2013, 42(3): 114-118.
- 6. 刘玉杰, 周密, 李众利, 等. 关节镜下复位固定治疗胫骨髁间隆突撕脱性骨折.重庆医学, 2006, 35(20): 1845-1847.
- 7. 陈青植, 余跃伟, 宋宏宇, 等. 自制过线器线缆微创内固定治疗 Neer Ⅱ 型锁骨远端骨折疗效观察. 中国修复重建外科杂志, 2016, 30(5): 653-654.