锁骨骨折固定方式的生物力学特性  

Biomechanical properties of fixation methods for clavicle fractures

作　　者：孙义彤 聂伟志 Sun Yitong;Nie Weizhi(Shandong University of Traditional Chinese Medicine,Jinan 250000,Shandong Province,China;Shandong Wendeng Osteopathic Hospital,Weihai 264400,Shandong Province,China)

机构地区：[1]山东中医药大学,山东省济南市250000 [2]山东省文登整骨医院,山东省威海市264400

出　　处：《中国组织工程研究》2021年第33期5369-5373,共5页Chinese Journal of Tissue Engineering Research

摘　　要：背景:锁骨骨折是骨折中比较常见的一类,常由跌倒导致,国内外学者对锁骨骨折的类型、治疗及其生物力学特点进行了大量的研究。随着科学技术的不断发展与治疗措施的成熟,对于锁骨骨折的治疗及固定方式的选择越来越多,无论是保守治疗还是手术治疗,都有其优缺点。目的:归纳总结目前国内外关于锁骨骨折固定方式及其生物力学性能的研究进展,从而指导临床选择合适的方法治疗锁骨骨折。方法:通过计算机检索万方医学网、中国知网、PubMed、Embase、Web of Science中2010至2020年发表的相关文献,中文检索词为“锁骨骨折,固定方式,生物力学,保守治疗”,英文检索词为“clavicle,fixation,biomechanics”。根据纳入标准,最终纳入38篇相关文献进行归纳总结。结果与结论:对于锁骨骨折,无论是保守治疗还是手术治疗都有其局限性,因此临床上应根据患者年龄、骨折性质、骨折程度、骨折位置以及术后锻炼的评估选择最佳的治疗方法,不仅要恢复锁骨正常的生物力学与解剖关系,还要做到尽量保持美观以及固定的稳定性。BACKGROUND:Clavicle fractures are a relatively common type of fractures,which are usually caused by falls.Scholars in and outside China have conducted numerous studies addressing the types,treatments and biomechanical characteristics of clavicle fractures.With the continuous development of science and technology and the maturity of therapeutic measures,there are more and more options for the treatment and fixation of clavicle fractures.Both conservative treatment and surgical treatment have the advantages and disadvantages.OBJECTIVE:To summarize the current research progress regarding clavicle fracture fixation methods and biomechanical properties in and outside China,so as to guide the selection of appropriate methods for clavicle fractures in the clinic.METHODS:A computer search of relevant articles published from 2010 to 2020 in Wanfang,CNKI,PubMed,Embase,and Web of Science was conducted.Chinese search terms were“clavicle fracture,fixation method,biomechanics,conservative treatment”.English search terms were“clavicle,fixation,biomechanics”.According to the inclusion criteria,38 relevant articles were finally included for summary.RESULTS AND CONCLUSION:For clavicle fractures,both conservative and surgical treatments have their limitations.Taken together,clinically,the best therapeutic method should be selected according to the patient’s age,fracture nature,fracture degree,fracture location,and evaluation of postoperative exercise.It is not only necessary to restore the normal biomechanical and anatomical relationship of the clavicle,but also to maintain the beauty and stability of the fixation as much as possible.

关 键 词：锁骨 骨折 分型 固定方式 生物力学 综述 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学]