桥接组合式内固定系统治疗肩胛骨骨折的临床应用研究  

作　　者：王士进[1] 刘聪[1] 夏波[1] 张庆民[1] 张杰锋[1] 史静[1] 

机构地区：[1]山东泰安市中心医院,山东泰安271000

出　　处：《中医学报》2014年第B07期178-178,共1页Acta Chinese Medicine

摘　　要：目的探讨桥接组合式内固定系统治疗肩胛骨骨折的临床效果. 方法：应用该系统治疗肩胛骨骨折 17 例.术中记手术时间、测量手术切口大小、评估操作难易性及骨膜剥离程度,术后定期摄片评定骨折愈合情况并进行疗效评价.结果：所有病例随访6~ 18 个月,平均 10 个月.此系统术中操作容易、内固定物可任意塑形、手术时间短、微创固定,术后无伤口感染、骨折不愈合、内固定物松动及断裂等严重并发症,根据Rowe 的疗效评价标准,其中优15 例、良1 例、可1 例、差0 例,优良率达到94.12%.结论：桥接组合式内固定系统在治疗肩胛骨骨折的临床应用中具有明显优势,尤其是其可依据骨折内固定需要任意折弯塑形和最大限度地保留骨折部位的血运,是一种值得推广和发展的内固定系统.ObjectiveTo investigate the clinical effect of the bridging modular fixation systems on treatment of scapular fracture. Methods：17 patients with scapular fracturewere treated with the bridging modular fixation systems. All patients were remembered operative time, measured the incision size, assessed the ease of operation and the extent ofperiosteal stripping, and reexamed regularly with X-ray for assessing the fracture healing and evaluating the efficacy. Results：All 17 cases were followed up from 6 to 18 months withan average of 10 months. The effective evaluation were excellent in 15 cases, good in 1 case, fair in 1 case and bad in 0 case based on Rowe’s evaluating standard, the fine rate was94.12%. It was easy to operate surgery, shape the internal fixation freely, shorten operative time and fix with minor wound. There were no wound infection, nonunion, implant looseningand fracture and other serious complications after operation. Conclusion：The systems of the bridging modular fixation has an obvious advantage in the treatment of scapular fracture,especially in bending into any shape based on the need of fracture fixation and retaining the supplement of blood possibly in fracture, It’s worthwhile to promote and develop.

关 键 词：桥接组合式内固定系统 肩胛骨 骨折 

分 类 号：R274.11[医药卫生—中医骨伤科学]