影响锁骨骨折不愈合的因素  

Clavicular fractures： prognostic factors for nonunion

作　　者：James F Kellam 王簕(译)[2] 杨云峰(译)[3] 

机构地区：[1]AO Publishing, Switzerland Clavadelerstrasse, CH-7270 Davos Platz [2]南方医科大学南方医院创伤骨科 [3]上海同济大学附属同济医院骨科

出　　处：《中华创伤骨科杂志》2009年第3期263-270,共8页Chinese Journal of Orthopaedic Trauma

摘　　要：两项前瞻性队列研究得到的证据显示，锁骨骨折时，女性患者和骨折移位的患者发生骨折不愈合的危险性更高。但是，对于高龄和骨折粉碎的患者是否也会增加锁骨骨折不愈合的危险性，目前结论尚不一致。至于其他一些类型骨折（成角、关节内骨折、特定位置、短缩）和吸烟因素似乎并不会影响锁骨骨折的愈合。Summary There is moderate evidence hort studies that female patients from two prospective coand patients with fracture displacement are at increased risk for nonunion following clavicular fracture. There is inconsistent support for whether older patients and patients with comminuted fractures are at increased risk for nonunion. Other fracture characteristics （angulation, intraarticular involvement, location, and shortening） and smoking appear not to affect risk of nonunion after clavicular fracture.

关 键 词：锁骨骨折不愈合 前瞻性队列研究 关节内骨折 骨折移位 女性患者 特定位置 

分 类 号：R686[医药卫生—骨科学]