江涛;苏海涛;朱兴阳;刘子桃;黄永明;徐伟龙;肖大为;黄国钦;

• 1:广东省中医院骨科

摘要(Abstract)：

[目的]克氏针张力带联合铆钉喙锁韧带重建治疗NeerⅡ锁骨远端骨折的临床与影像学评估。[方法]自2008~2012年,本院共有17例NeerⅡ锁骨远端骨折患者行克氏针张力带联合铆钉喙锁韧带重建治疗,通过Constant、DASH评分、骨折愈合时间及喙锁间距对其临床及影像学结果进行评估。[结果]平均随访24.2个月(12~49个月),其中16例患者骨折获得愈合,愈合时间平均3.8个月,1例在术后1周克氏针松脱,后行锁骨远端切除术。15例患者在末次随访时维持解剖复位,但有1例患者患侧喙锁间距较健侧增加40.3%,1例患者锁骨上不可吸收缝线周围的骨道在末次17个月随访时仍较明显并有所增大,1例患者出现迟发性感染但得到了良好的控制,但这些患者患肩均恢复到了术前的活动水平,且在随访过程中没有出现影响患者日常活动的症状。末次随访时Constant和DASH评分分别为97.7分(72~100分)和1.9分(0~26.5分)。[结论]克氏针张力带联合铆钉喙锁韧带重建是NeerⅡ锁骨远端骨折治疗的一种良好的初始选择,其不仅可以获得良好的关节功能,而且并发症较少。

关键词(KeyWords)： 锁骨远端骨折;NeerⅡ;克氏针张力带;铆钉;喙锁韧带

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 江涛;苏海涛;朱兴阳;刘子桃;黄永明;徐伟龙;肖大为;黄国钦;

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参考文献(References)：

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