CAJ | 학술논문

目的：探讨闭合穿针后两端折弯治疗锁骨中段不稳定性骨折的临床疗效。方法：2010年3月-2011年6月，我科采用闭合穿针后两端折弯治疗锁骨中段不稳定性骨折，患肩后外侧针尾折弯90°，前侧针尖折弯约30°，与传统闭合穿针作对比，对两组病例的手术资料、术后并发症、骨折愈合时间和肩关节功能进行临床随访分析。结果：闭合穿针后两端折弯疗法固定可靠、疗效更好，且手术时间更短，术后并发症更少，骨折愈合后取针容易。结论：闭合穿针后两端折弯是治疗锁骨中段不稳定性骨折的一种较理想的微创疗法之一。
목적：탐토폐합천침후량단절만치료쇄골중단불은정성골절적림상료효。방법：2010년3월-2011년6월，아과채용폐합천침후량단절만치료쇄골중단불은정성골절，환견후외측침미절만90°，전측침첨절만약30°，여전통폐합천침작대비，대량조병례적수술자료、술후병발증、골절유합시간화견관절공능진행림상수방분석。결과：폐합천침후량단절만요법고정가고、료효경호，차수술시간경단，술후병발증경소，골절유합후취침용역。결론：폐합천침후량단절만시치료쇄골중단불은정성골절적일충교이상적미창요법지일。
Objective:To investigate clinical efficacy of closed pinning later folding the ends. Methods:Treating unstable fracture of clavicle by closed pinning later folding the ends, folding the end of the needle 90° in the diseased shoulder poster lateral, folding the needle tip about 30° in the front side, for comparison with the traditional the closed needle, two cases of surgical data, postoperative complications, fracture healing time and joint function were clinical follow-up analyzed. Results: This therapy is fixed and reliable, and better efficacy and shorter operative time, less postoperative complications, after fracture healing, take the needle easily. Conclusion:The closed pinning later folding the ends therapy is one of the ideal minimally invasive therapies for treating unstable fracture of clavicle.