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find Keyword "胸锁关节前脱位" 2 results
  • 锁骨钩钢板治疗胸锁关节前脱位八例

    目的 总结锁骨钩钢板治疗胸锁关节前脱位的疗效。 方法 2003 年1 月- 2008 年10 月,采用锁骨钩钢板治疗8 例交通事故伤所致胸锁关节前脱位。男7 例,女1 例;年龄30 ~ 54 岁。左侧2 例,右侧6 例。合并血气胸1 例,下肢骨折1 例,轻度脑外伤1 例。其中1 例脱位后曾行T 型钢板固定,术后15 d 内固定物松动,改为锁骨钩钢板固定;余7 例均为首次手术,受伤至手术时间为3 ~ 5 d。 结果 术后切口均Ⅰ期愈合,无神经、血管损伤及血气胸等并发症发生。8 例均获随访,随访时间6 ~ 15 个月,平均12.3 个月。随访期间X 线片示无内固定失败和再脱位发生。术后6 个月肩关节功能根据Rockwood 等的评分标准评分为12 ~ 14 分,平均13.6 分;其中优7 例,良1 例,优良率100%。 结论 利用锁骨钩钢板治疗胸锁关节前脱位是一种安全、有效的方法。

    Release date:2016-08-31 05:41 Export PDF Favorites Scan
  • Treatment of traumatic anterior dislocation of sternoclavicular joint with allogeneic tendon of “W” type knit

    ObjectiveTo investigate effectiveness of allogeneic tendon of " W” type knit in repair of traumatic anterior dislocation of sternoclavicular joint.MethodsBetween June 2013 and June 2017, 12 patients with traumatic anterior dislocation of sternoclavicular joint after poor conservative treatment were treated with allogeneic tendon of " W” type knit. Of them, 10 were males and 2 were females, aged from 25 to 58 years (mean, 42 years). All injuries were caused by traffic accidents. The time from injury to operation was 4-12 weeks (median, 6 weeks). All of them were closed injuries. The patients had no fracture around the shoulder, or blood vessels, nerves, and other adjacent limb joint injuries. The operation time, intraoperative blood loss, incision healing, and complications were recorded. The sternoclavicular joint was observed by X-ray film and CT at 1 year after operation. Visual analogue scale (VAS) score, University of California Los Angeles (UCLA) score, Rockwood score, modified Hospital for Special Surgery (HSS) score, and Constant-Murley score were used to evaluate the function of shoulder joint after operation.ResultsThe operation time was 60-80 minutes (mean, 70 minutes). The intraoperative blood loss was 50-100 mL (mean, 60 mL). Primary healing of incision was obtained in all patients without complications. All the patients were followed up 12-24 months (mean, 18 months). At 1 year after operation, X-ray film and CT examination showed that the position of sternoclavicular joint was satisfactory. At 1 year after operation, the Rockwood score was 12-14 (mean, 13). The UCLA score was 28-34 (mean, 31). The VAS score was significant lower than that before operation (P<0.05), and the Constant-Murley score and modified HSS score were significantly higher than those before operation (P<0.05).ConclusionThe repair of traumatic anterior dislocationr of sternoclavicula joint with allogeneic tendon of " W” type knit can effectively reconstruct the stability of the joint, retain the physiological fretting, and obtain satisfactory results.

    Release date:2019-07-23 09:50 Export PDF Favorites Scan
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