记忆合金环抱器结合钢针固定锁骨骨折疗效分析  

Analysis of Shape Memory Alloy(SMA) Combined with Wire Curative Effect on Clavicle Fracture

作　　者：吉旭彬 于学忠 杜生富 江善勇 赵刚 

机构地区：[1]山东省东营市人民医院骨科,山东东营257091

出　　处：《实用骨科杂志》2011年第9期787-791,共5页Journal of Practical Orthopaedics

摘　　要：目的探讨分析记忆合金环抱器结合钢针联合内固定治疗锁骨骨折的临床疗效及适应证。方法我院2000年9月至2010年3月采用记忆合金环抱器结合钢针联合内固定治疗87例锁骨骨折患者,其中男59例,女28例;年龄18～74岁,平均38岁。横形和斜形骨折5例,粉碎性骨折82例。疗效评定按韩平良等锁骨疗效标准进行评价。结果全部病例随访6～42个月,平均19.5个月。骨折愈合时间为1.5～5.5个月,平均3个月。优86例,良1例,优良率100%。有1例锁骨骨折患者先单用记忆合金固定后3d发生隐匿骨折再移位,再次给予钢针内固定后15周骨折愈合,治疗效果良。结论对于锁骨粉碎性骨折,特别是不能排除隐匿骨折时,记忆合金环抱器结合钢针联合内固定具有固定坚强、无明显并发症、可早期进行肩关节功能锻炼、肩关节功能恢复好的优点。Objective To study and analyze the effect and indication of the shape memory alloy（SMA） combined with wire for treatment of clavicle fracture.Methods 87 cases of clavicle fractures that can be followed up during 2000.9～2010.3 in our hospital,in which were treated by shape memory alloy combined with wire.The effect is assessed according to the standard of Han Ping-liang.Results All the cases were followed up from 6～42 months,with an average time of 19.5 months.The healing time was from 1.5～5.5 months,with an average time of 3 months.The results showed that 86 cases were excellent,and 1 case was good.The excellent and good rate was 100 percent.Conclusion According to the results,we concluded that treating the clavicle fracture by shape memory alloy combined with wire has the following advantages：rigid fixation,and no significant complication,and it can help to do functional exercise earlier.The function of the shoulder joint is good.

关 键 词：锁骨骨折 记忆合金 钢针 内固定 

分 类 号：R683.41[医药卫生—骨科学]