CAJ | 학술논문

目的探讨形状记忆合金环抱器治疗锁骨骨折的疗效和适应证.方法我院自2004年6月至2008年9月采用环抱器治疗锁骨骨折35例.其中锁骨中段骨折32例,外1/3骨折3例.结果 32例获随访,骨折均愈合,愈合时间6-12周,平均7.8周.1例术后1周出现环抱器脱落,经2次手术后稳定.本组病例未出现感染骨折及血管、神经损伤等并发症.根据庄起昌和蒋宁葆评价标准:优29例,良2例,可1例,差0例,优良率96.8%.结论形状记忆合金环抱器治疗锁骨骨折具有操作简单,固定可靠等优点,适用于中1/3骨折,不适用于外1/3骨折及严重粉碎性骨折.
목적 탐토형상기억합금배포기치료쇄골골절적료효화괄응증.방법 아원자2004년6월지2008년9월채용배포기치료쇄골골절35례.기중쇄골중단골절32례,외1/3골절3례.결과 32례획수방,골절균유합,유합시간6-12주,평균7.8주.1례술후1주출현배포기탈락,경2차수술후은정.본조병례미출현감염골절급혈관、신경손상등병발증.근거장기창화장저보평개표준:우29례,량2례,가1례,차0례,우량솔96.8%.결론 형상기억합금배포기치료쇄골골절구유조작간단,고정가고등우점,괄용우중1/3골절,불괄용우외1/3골절급엄중분쇄성골절.
Objective To explore the clinical results and the surgical indications of shape memory alloy embracing fixator for clavicle fractures. Methods Thirty-five clavicle fractures were treated with the shape memory alloy embracing fixator from June 2004 to September 2008. Among them, 32 cases were clavicular midpiece fractures and other 3 cases were fractures on the lateral one third of clavicle. Results Thirty-two patients finished follow-up with satisfied bone healing. The healing duration was about 6 ～ 12 weeks. According to the Zhuang Qi-chang Scoring Criteria of clavicle fractures, 29 cases were excellent, 2 cases were good, 1 case was fair and no poor case was found. The excellent rate was 96. 8%. Conclusion The treatment of clavicle fractures with shape memory alloy embracing fixator has the features of secure fixation and simple manipulation. This method is especially suitable for the treatment of clavicular midpiece fractures.