中华创伤骨科杂志
中華創傷骨科雜誌
중화창상골과잡지
CHINESE JOURNAL OF ORTHOPAEDIC TRAUMA
2011年
1期
8-11
,共4页
杨顺%向明%陈杭%谢杰%杨国勇%牟健雄%姜春岩
楊順%嚮明%陳杭%謝傑%楊國勇%牟健雄%薑春巖
양순%향명%진항%사걸%양국용%모건웅%강춘암
锁骨%骨折%骨折固定术,内%缝合锚%喙锁韧带
鎖骨%骨摺%骨摺固定術,內%縫閤錨%喙鎖韌帶
쇄골%골절%골절고정술,내%봉합묘%훼쇄인대
Clavicle%Fractures%Fracture fixation,internal%Suture anchor%Coracoclavicular ligament
目的 介绍应用锁骨远端切除缝合锚固定治疗Craig Ⅴ型锁骨远端骨折的手术方法,并探讨其疗效.方法 对2005年11月至2007年8月间收治且获得完整随访的25例Craig Ⅴ型锁骨远端骨折患者资料进行回顾性分析,男18例,女7例;平均年龄42.6岁(28～62岁);均采用锁骨远端切除缝合锚固定治疗.随访时应用放射学评估骨折愈合情况,肩关节功能按照加州大学肩关节评分系统(UCLA)及Constant评分进行评定,疼痛采用视觉模拟法(VAS)进行评定.结果 所有患者术后获平均13.6个月(8～24个月)随访.末次随访时骨折端均获愈合,愈合时间为8～14周(平均10周).末次随访时UCLA评分平均为33.5分(28～35分);其中优19例,良3例,差3例,优良率为88.0%(22/25).Constant评分平均为90.6分(79～100分),VAS评分平均为1.2分(0～4分),前屈上举平均156.4°(145°～170°),外旋平均45.6°(40.～60°).结论 锁骨远端切除缝合锚固定是治疗Craig Ⅴ型锁骨远端骨折的一种有效方法.
目的 介紹應用鎖骨遠耑切除縫閤錨固定治療Craig Ⅴ型鎖骨遠耑骨摺的手術方法,併探討其療效.方法 對2005年11月至2007年8月間收治且穫得完整隨訪的25例Craig Ⅴ型鎖骨遠耑骨摺患者資料進行迴顧性分析,男18例,女7例;平均年齡42.6歲(28～62歲);均採用鎖骨遠耑切除縫閤錨固定治療.隨訪時應用放射學評估骨摺愈閤情況,肩關節功能按照加州大學肩關節評分繫統(UCLA)及Constant評分進行評定,疼痛採用視覺模擬法(VAS)進行評定.結果 所有患者術後穫平均13.6箇月(8～24箇月)隨訪.末次隨訪時骨摺耑均穫愈閤,愈閤時間為8～14週(平均10週).末次隨訪時UCLA評分平均為33.5分(28～35分);其中優19例,良3例,差3例,優良率為88.0%(22/25).Constant評分平均為90.6分(79～100分),VAS評分平均為1.2分(0～4分),前屈上舉平均156.4°(145°～170°),外鏇平均45.6°(40.～60°).結論 鎖骨遠耑切除縫閤錨固定是治療Craig Ⅴ型鎖骨遠耑骨摺的一種有效方法.
목적 개소응용쇄골원단절제봉합묘고정치료Craig Ⅴ형쇄골원단골절적수술방법,병탐토기료효.방법 대2005년11월지2007년8월간수치차획득완정수방적25례Craig Ⅴ형쇄골원단골절환자자료진행회고성분석,남18례,녀7례;평균년령42.6세(28～62세);균채용쇄골원단절제봉합묘고정치료.수방시응용방사학평고골절유합정황,견관절공능안조가주대학견관절평분계통(UCLA)급Constant평분진행평정,동통채용시각모의법(VAS)진행평정.결과 소유환자술후획평균13.6개월(8～24개월)수방.말차수방시골절단균획유합,유합시간위8～14주(평균10주).말차수방시UCLA평분평균위33.5분(28～35분);기중우19례,량3례,차3례,우량솔위88.0%(22/25).Constant평분평균위90.6분(79～100분),VAS평분평균위1.2분(0～4분),전굴상거평균156.4°(145°～170°),외선평균45.6°(40.～60°).결론 쇄골원단절제봉합묘고정시치료Craig Ⅴ형쇄골원단골절적일충유효방법.
Objective To introduce distal clavicle excision plus suture anchor to treat Craig Ⅴ distal clavicle fracture.Methods From November, 2005 to August, 2007, 25 patients with Craig Ⅴ distal clavicle fracture were treated with distal clavicle excision plus suture anchor.They were 18 men and 7 women,with a median age of 42.6 years.They were followed up periodically by radiological examination.At the final follow-up, their shoulder functions were evaluated by University of California-Los Angeles (UCLA) scoring system and Constant scoring system, and the pain was evaluated according to visual analog scale (VAS).Results All the patients obtained a median follow-up of 13.6 months (8 to 24) .The height of distal clavicle in all patients reached anatomical reduction.Their average UCLA score was 33.5 (28 to 35), and average Constant score was 90.6 (79 to 100) .Their mean VAS score was 1.2 (0 to 4) .Their average forward flexion and elevation was 156.4° ( 145° to 170°), and external rotation was 45.6° (40° to 60°) .The rate of top quality was 88.0% (22/25).Conclusion Distal clavicle excision plus suture anchor is an effective method to treat Craig Ⅴ distal clavicle fracture which results from serious trauma.
