Kirschner wire fixation with open reduction and internal medicine treatment of 37 cases of clavicular fracture.docVIP
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Kirschner wire fixation with open reduction and internal medicine treatment of 37 cases of clavicular fracture
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Kirschner wire fixation with open reduction and internal medicine treatment of 37 cases of clavicular fracture
[Keywords:] open reduction and Kirschner wire fixation of clavicular fracture internal medicine
Clavicle fracture is a common trauma fracture, accounting for 6% of the body fractures. Since February 2002 ~ December 2006, our hospital with open reduction and Kirschner wire fixation combined with traditional Chinese method of treatment of oral administration of 37 cases of clavicular fracture satisfactory outcome, are reported below.
Materials and Methods
1. General Information
The group of 37 patients, 23 males and 14 females, aged 19 to 65 years, mean 42.6 years old, left in 16 cases, the right side in 21 cases, the fracture site: lateral segment in 11 cases, middle in 26 cases, fracture type: simple fractures in 28 cases (including 8 cases of transverse fractures, 20 cases of small oblique fracture, comminuted fracture in 9 cases, were fresh fractures.
2. Treatment
Simple fracture with open reduction and Kirschner wire fixation, comminuted fracture of the situation under the debris with silk thread tied to the Kirschner wire, according to Chinese medicine for internal medicine III fracture treatment. open reduction and Kirschner wire fixation in treatment of: use of cervical plexus block anesthesia. patients supine position, elevate the shoulders, collarbone and shoulder fully exposed to fracture site as the center, above the clavicle and clavicle parallel to the front to make a 1.5 ~ 2.5 cm long incision, comminuted fractures according to the needs of the incision length to be able to reveal the fracture, open fractures by open wound treatment, minimal periosteal stripping, according to the size of selected diameter of the clavicle and the marrow cavity marrow cavity diameter Kirschner wire was quite a antegrade into the far off-side and piercing the skin, the reduction fracture, and then retrograde into t
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