保守治疗锁骨远端明显分离移位骨折--浙江平阳叶有厚.docVIP

临床报告 保守治疗锁骨外端明显分离移位骨折 叶有厚 中医骨伤科叶有厚医师诊所 浙江平阳（325401） 浙江省平阳县鳌江镇电台路7号 座机电话号码 [摘要] 目的 为探讨锁骨外端明显分离移位骨折，如何选择适应症治疗，骨折所致畸形愈合原因预防方法。方法 回顾性分析保守治疗，通过16例锁骨外端明显分离移位骨折，手法复位，改良外固定治疗方法。结果 16例仅一例治疗失败，术中所见伴喙锁韧带断裂。15例保守治疗效果满意，功能全复，外观正常，无后遗症。结论 治疗锁骨外端明显分离移位骨折，该症又有潜伏骨折所致畸形愈合的原因。该症一类仅一例，伴喙锁韧带断裂的原因，易致骨折畸形愈合，需手术治疗。该症二类15例，喙锁韧带虽无断裂⑴，骨折不但失去横向支撑作用，主要受上肢重力作用，增加骨折所致明显分离移位的原因，又容易成为骨折畸形愈合。因此，改良外固定是治疗的关键。目的增加横向固定支撑力，主要把上肢重力不利因素变为有利因素，达到外固定的要领①疗效作用。其目的预防骨折所致畸形愈合的有效治疗措施。 关键词：膝顶复位 手法复位 改良外固定 治疗 明显分离移位锁骨外端骨折 Treat conservatively obvious separation shifting bone fracture for the outside of the collarbone ABSTRACT Objective: To explore obvious separation shifting bone fracture for the outside of the collarbone, how to choose an adoption treatment for bone fracture with the result that the abnormal matches a reason prevention method more. Methods: The review analyzes a conservative treatment, passing 16 cases collarbone to carry obvious separation to move a bone fracture outside. The skill resets, improvement outside cure a method fixedly. Results: Only one treatment of failure in 16 cases. Keep a treatment result satisfaction up to 15 cases. All of the function recovered, they had no linger effect. Conclusion: Carry obvious separation to move a bone fracture to treat collarbone. At the same time, there is a reason of the abnormal intension because of bone fracture. Improved external fixation is the key of treatment. The purpose is fixedly the increment horizont at and prop up dint, mainly changing the disadvantageous factors of the arms gravity into the beneficial factors, attaining out-fixed main theme-acrative effect function. Its purpose is to prevent the abnormal that bone fracture cause matches more of valid treatment measure. Key words Reduction with the knee; Manipulative reduction; Improved external fixation; Treat; Obvious separation shifting bone fracture for the outside of the collarbone 1、临床资料：本组16例；男10例（一例伴喙锁韧带断裂），女6例。致伤原因；车祸伤1例（伴同侧桡骨远端骨折），跌倒伤12例，撞击伤3例。骨折类型；横型骨折4例，短斜型12