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《鎖骨鉤鋼板治療鎖骨遠(yuǎn)端骨折和肩鎖關(guān)節(jié)脫位論文》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、鎖骨鉤鋼板治療鎖骨遠(yuǎn)端骨折和肩鎖關(guān)節(jié)脫位論文.freelioclaviculardislocationandNeerⅠtypedistalendofcollarbonefracture.Methods68casesofcollar-bonefractureacceptedbyourdepartmentfromFebruaryof2002toJanuaryof2005onthsafteroperation.ResultsAdoptLazzcanostandardtoevaluatethepatient’sf
2、unctionaftertheoperation.68casesincludingexcellent66andgood2havenoinjuryofsubclaviannerveandbloodvessel，infection，looseandprolapseofinternalfixationdevicesandfracturedisunionandmalunion.X-rayshoioclaviculardislocation.Thepatientscangetpainlessfree-running
3、.ConclusionCollar-bonehooknickelcladutilizestheleverprincipleandtheintensityofnickelcladitselftoopposethetractionforceofsternomastoidmuscleandavoidprolapse.Asnotdamagingtheacromioclavicularfacet，itcanavoidandreducethetraumaticarthritiscausedbydevicessucha
4、sKirschnerethodcharacterizedbylittlelyand 鎖骨鉤鋼板治療鎖骨遠(yuǎn)端骨折和肩鎖關(guān)節(jié)脫位論文.freelioclaviculardislocationandNeerⅠtypedistalendofcollarbonefracture.Methods68casesofcollar-bonefractureacceptedbyourdepartmentfromFebruaryof2002toJanuaryof2005onthsafteroperation.ResultsA
5、doptLazzcanostandardtoevaluatethepatient’sfunctionaftertheoperation.68casesincludingexcellent66andgood2havenoinjuryofsubclaviannerveandbloodvessel，infection，looseandprolapseofinternalfixationdevicesandfracturedisunionandmalunion.X-rayshoioclaviculardisloc
6、ation.Thepatientscangetpainlessfree-running.ConclusionCollar-bonehooknickelcladutilizestheleverprincipleandtheintensityofnickelcladitselftoopposethetractionforceofsternomastoidmuscleandavoidprolapse.Asnotdamagingtheacromioclavicularfacet，itcanavoidandredu
7、cethetraumaticarthritiscausedbydevicessuchasKirschnerethodcharacterizedbylittlelyandmovingthejointearlyisaeffectivemethodtocuredistalcollarbonefractureandacromioclaviculardislocation.【Keyioclaviculardislocation鎖骨遠(yuǎn)端骨折及肩鎖關(guān)節(jié)脫位往往伴有喙鎖韌帶及肩鎖韌帶的斷裂，造成鎖骨遠(yuǎn)端向上向后移動(dòng)，此類
8、骨折脫位臨床上較為多見，根據(jù)鎖骨鉤鋼板的設(shè)計(jì)符合肩鎖關(guān)節(jié)局部解剖特點(diǎn)和生物力學(xué)特性，我院近3年來用鎖骨鉤鋼板治療鎖骨遠(yuǎn)端骨折和肩鎖關(guān)節(jié)脫位。臨床實(shí)踐表明此方法固定牢固，患者能早期活動(dòng)肩關(guān)節(jié)，避免出現(xiàn)內(nèi)固定松動(dòng)、骨折、脫位、移位等并發(fā)癥。1資料與方法1.1一般資料本組68例，男50例，女18例，年齡21～64歲，平均32歲，均為新鮮骨折，受傷至手術(shù)時(shí)間1～3天，所有病例均采用鎖骨鉤鋼板治療。1.2手術(shù)方法上臂叢麻醉，平臥位，患肩
