弹性髓内针固定治疗青少年锁骨中段骨折

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第11卷期数: 2012年01期页码: 4-6 栏目: 论著出版日期: 2012-02-28

作者:: 杜智军吕洪海王彭; 南通瑞慈儿童医院

关键词:: ; 骨折固定术; 髓内; 锁骨; 青少年

文献标志码:: A

摘要:: 目的探讨闭合复位、经皮钛制弹性髓内针固定治疗青少年锁骨中段骨折，并观察其临床疗效。方法作者自2008年5月至2010年3月收治青少年锁骨中段移位骨折11例，均为男性，年龄9~15岁，平均年龄11岁，按Robison分型均为ⅡB1型，术中采用闭合复位、锁骨内侧经皮钛制弹性髓内针固定。术后早期恢复自主活动。结果患儿术后平均住院3d，随访8~22个月（平均10.5个月），均一期获得骨性愈合，愈合时间4~8周（平均5.6周）。术后4周均基本恢复正常活动及运动，肩关节功能Constant评分94~97分（平均96分），术后3~6个月（平均4个月）去除内固定。结论闭合复位、钛制弹性髓内针固定治疗青少年锁骨中段骨折，可获得良好疗效，具有微创、可恢复锁骨长度、固定稳定、恢复患肢活动早、对日常生活影响小等优点。

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