手术治疗不稳定肩胛骨骨折的临床研究.pdf

C lin ica l stu d y o n u n sta b le sca P u la r fra ctu re s w ith su r g ica l th era p y S P ee ia !ity : o rtho P ed ic s o f T C M 几 tor : P rof Q iS h an gfen g A u th o r : 丫卫e H a izh en A b str a C t O bjeetive : Th is PaPer analyzes the unstab le seaPu lar fraeture elin ical effe ct of surgi caltreatm ent，to inv estigate the early diagu osis，the elassification ，adaPtation levy of surgi ealtreatnl ent，surgi calaPProach ，safety and the Preeise nature of long-te朋 effieaey of th e u n stab le seaP u lar fra etu re ， an d to Pr o v id e the P ro o fs to gu id e th e d iagn o sis an d trea tm en t in clin ie P raetiee . M e th o d s : T h e stu d y gro uP in clu d e s tw en ty 一fiv e ca se s for seaP u lar fra eture . V i ew s o f X- 一 ray an d th ree一 d im en sio n a l C T im age ree o n stru etio n w ere used to conof rm their injures before surgery . A ccording to the H ard egger’5 classification for seaP u lar fractu re ， a ll o f th em w ere e la ssified ， an d w ere eo n form to a d aP ta tio n lev y o f surgi eal treatm ent.D ePending on the ftaeture site ，the Patientw ere u sed the aPProPriate surgi eal aPProaeh . O Perative treatm ent ineluded reconstruetion P late or ealcaneal P late w ith K 一 w ire an d w ire fix atio n ， e te for fix a tio n o f seaP u lar ftae tu re. Re su lts : Th e tw en ty 一fiv e case s for scaP u lar fractu re are to aeh ieve an atom ie redu ctio n ， fix ed satisfied ， n o P o stop erativ e w o u n d in feetio n s after th e 叩 eration .A ll cases w ere fo llow ed uP ·A ll g o t b o n y h ea ling an d a g o o d fun etio n al a etiv ity o f lim