CAJ | 학술논문

[目的]评价利用中医骨伤手法闭合复位弹性钉内固定治疗锁骨骨折的疗效。[方法]对2010年2月至2012年6月我院收治新鲜锁骨折患者83例，对其进行中医手法复位治疗后，观察83例患者治疗后的疗效。[结果]术后83例全愈合，无术中并发症，术后随访3～16个月，拔弹性钉时间平均（8.12±0.96）周，根据Neer肩关节功能标准评定，优71例，良12例，可0例，差0例，优良率为100%。[结论]弹性髓内钉治疗锁骨骨折总体疗效好，其术后退针并发症少，肩关节疼痛及肩关节活动受限发生率低，有利于早期进行功能锻炼。
[목적]평개이용중의골상수법폐합복위탄성정내고정치료쇄골골절적료효。[방법]대2010년2월지2012년6월아원수치신선쇄골절환자83례，대기진행중의수법복위치료후，관찰83례환자치료후적료효。[결과]술후83례전유합，무술중병발증，술후수방3～16개월，발탄성정시간평균（8.12±0.96）주，근거Neer견관절공능표준평정，우71례，량12례，가0례，차0례，우량솔위100%。[결론]탄성수내정치료쇄골골절총체료효호，기술후퇴침병발증소，견관절동통급견관절활동수한발생솔저，유리우조기진행공능단련。
[Objective] To evaluate the curative effect of TCM traumatology and orthopedics manipulation close reposition and elastic nail internal fixation on clavicle fracture.[Method] For the fresh clavicle fracture 83 cases, use TCM manipulation reposition,and observe the cure effect after treatment. [Result] Al 83 cases were cured, without complications; after fol ow-up for 3~16m, the time of pul ing out elastic nail was (12 ±0.96)w in average; under Neer shoulder joint functional standard evaluation,71 cases were excellent, 12 good,0 medial,0 bad,the excellence rate was 100%. [Conclusion] The method above has good total effect, with little complications, low rates of shoulder joint pain or limited movement, helpful for early functional exercise.