目的对锁骨钩钢板治疗肩锁关节脱位及锁骨远端骨折的临床观察。方法对2008-01-2010-01收治的锁骨远端骨折及TossyШ肩锁关节脱位的32例患者用锁骨钩钢板固定,用患者的健侧对比,用Constant and Murley方法评价肩关节的功能。结果对32例...目的对锁骨钩钢板治疗肩锁关节脱位及锁骨远端骨折的临床观察。方法对2008-01-2010-01收治的锁骨远端骨折及TossyШ肩锁关节脱位的32例患者用锁骨钩钢板固定,用患者的健侧对比,用Constant and Murley方法评价肩关节的功能。结果对32例患者进行随访,随访5～12个月,平均随访8个月,内固定均无松动及断裂,骨折均愈合,肩锁关节脱位得到纠正。用患者的患侧与健侧对比,患侧的评分(76.4±8.5),健侧的评分99.5±0.5,(P<0.05)有统计学意义。结论锁骨钩钢板治疗肩锁关节脱位及锁骨远端骨折是非常实用的方法,能使脱位复位,韧带修复后维持原位。能保证锁骨远端骨折牢固固定,促进骨折愈合。该手术多种原因会影响关节功能,内固定物早期取出后,关节功能明显恢复。建议提高手术技巧,术后尽早取出。防止并发症的出现。展开更多
AIM:To develop a new internal fixation device for comminuted, unstable fractures of the distal femur,and to offer a guide for management of these injuries based on biomechanical studies.METHODS:Ten fresh adult femurs ...AIM:To develop a new internal fixation device for comminuted, unstable fractures of the distal femur,and to offer a guide for management of these injuries based on biomechanical studies.METHODS:Ten fresh adult femurs of cadavers.All femurs were similarly made of the models of supracondylar intercondylar fractures,then double plating with a plate in combination with a polythene plate,and the conventional sigle plating was served as the control.The biomechanic tests (compression,bending,torsion) were performed.RESULTS:The bending and torsion tests demonstrated that the double plating groups were much stronger (P< 0.01) than the single plating groups in anti bending and anti torsion.During the tests loading to failure, the double plating groups failed at a mean peak load of 11 540 N in axial compression,700 N in anterior bending 1 082 N in posterior bending,593 N in medial bending,1 010 N in lateral bending.CONCLUSION: Double plating with a plate in combination with a polythene plate is an excellent technique and design modification for severely comminuted fractures of the distal femur,which may provide a high stability and solidness so that early mobilization and weight bearing are allowed.展开更多
文摘目的对锁骨钩钢板治疗肩锁关节脱位及锁骨远端骨折的临床观察。方法对2008-01-2010-01收治的锁骨远端骨折及TossyШ肩锁关节脱位的32例患者用锁骨钩钢板固定,用患者的健侧对比,用Constant and Murley方法评价肩关节的功能。结果对32例患者进行随访,随访5～12个月,平均随访8个月,内固定均无松动及断裂,骨折均愈合,肩锁关节脱位得到纠正。用患者的患侧与健侧对比,患侧的评分(76.4±8.5),健侧的评分99.5±0.5,(P<0.05)有统计学意义。结论锁骨钩钢板治疗肩锁关节脱位及锁骨远端骨折是非常实用的方法,能使脱位复位,韧带修复后维持原位。能保证锁骨远端骨折牢固固定,促进骨折愈合。该手术多种原因会影响关节功能,内固定物早期取出后,关节功能明显恢复。建议提高手术技巧,术后尽早取出。防止并发症的出现。
文摘AIM:To develop a new internal fixation device for comminuted, unstable fractures of the distal femur,and to offer a guide for management of these injuries based on biomechanical studies.METHODS:Ten fresh adult femurs of cadavers.All femurs were similarly made of the models of supracondylar intercondylar fractures,then double plating with a plate in combination with a polythene plate,and the conventional sigle plating was served as the control.The biomechanic tests (compression,bending,torsion) were performed.RESULTS:The bending and torsion tests demonstrated that the double plating groups were much stronger (P< 0.01) than the single plating groups in anti bending and anti torsion.During the tests loading to failure, the double plating groups failed at a mean peak load of 11 540 N in axial compression,700 N in anterior bending 1 082 N in posterior bending,593 N in medial bending,1 010 N in lateral bending.CONCLUSION: Double plating with a plate in combination with a polythene plate is an excellent technique and design modification for severely comminuted fractures of the distal femur,which may provide a high stability and solidness so that early mobilization and weight bearing are allowed.
