| 杨寅,张延平,曹军军,等.不修复韧带的解剖型锁定钢板治疗锁骨远端Neer Ⅱ型骨折.骨科,2016,7(2): 106-108. |
| 不修复韧带的解剖型锁定钢板治疗锁骨远端Neer Ⅱ型骨折 |
| Distal clavicular anatomical locking plate for the treatment of Neer type Ⅱ distal clavicle fractures without fixing ligament |
| 投稿时间：2015-01-16 |
| DOI：10.3969/j.issn.1674-8573.2016.02.009 |
| 中文关键词: 锁骨 骨折 骨折固定术，内 内固定器 |
| 英文关键词: Clavicle Fractures Fracture fixation, internal Internal fixators |
| 基金项目:西安市科技计划项目［SF1512（4）］ |
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| 中文摘要: |
| 目的 探讨应用解剖型锁定钢板治疗Neer Ⅱ锁骨远端骨折的临床疗效。方法 回顾性分析2012年1月至2014年6月间收治的9例Neer Ⅱ锁骨远端骨折患者的临床资料。其中男6例，女3例；年龄为21~61岁，平均43岁。术中所有患者均未修复喙锁韧带，应用解剖型锁定钢板内固定治疗骨折。术后定期X线检查明确骨折愈合情况，按照Neer评分标准进行肩关节功能评分。结果 患者手术均顺利完成，术中无血管神经损伤，无感染、骨折不愈合等并发症发生。本组9例患者均获得随访，随访时间为6~18个月，平均12个月。骨折全部愈合，愈合时间为10~16周，平均12周。末次随访根据Neer肩关节功能评分：优5例，良3例，可1例。结论 锁骨远端解剖锁定钢板内固定是治疗Neer Ⅱ型锁骨远端骨折的有效方法，术后肩关节疼痛及活动受限发生率低，有利于早期功能锻炼。 |
| 英文摘要: |
| Objective To investigate the clinical outcomes of Neer type Ⅱ distal clavicle fractures treated with distal calvicular anatomical locking plates. Methods The clinical data of 9 patients with Neer type Ⅱ distal clavicle fractures from January 2012 to June 2014 were analyzed retrospectively. There were 6 males and 3 females with an average age of 43 years (range, 21-61 years). The coracoclavicular ligaments were not sutured intraoperatively. All the cases were treated by open reduction and internal fixation with calvicular anatomical locking plates. X-ray examinations were done in the regular follow-up to confirm the bone union. The shoulder joint function was evaluated by Neer shoulder function score system. Results Operations were successfully completed. All 9 cases were followed up for average 12 months (range, 6-18 months). There was no infection or no-union. There was no vascular or nerve injury perioperatively. Bone union occurred in all cases with roentgenographic evidence during 10-16 weeks after operation (average, 12 weeks). The effect was excellent in 5 cases, good in 3 cases and not good in 1 case according to Neer shoulder function score system. Conclusion Internal fixation with the distal clavicular anatomical locking plate is an effective treatment for Neer type Ⅱ distal clavicle fractures. Patients have less shoulder pain and better shoulder motion, which is in favor of early exercise. |
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