Memory alloy embracing the treatment of clavicular fractures in 31 cases.docVIP

 PAGE \* MERGEFORMAT 5 Memory alloy embracing the treatment of clavicular fractures in 31 cases Fracture of the clavicle fracture is a common one, accounting for 6% of body fractures [1] . Many of their treatment, Kirschner wire, plate and screw, hollow screw, etc. are reported in our hospital from May 2004 to September 2009 the use of pulse shape memory embracing Lanzhou West clavicular fractures in 31 cases in treatment, and achieved good effect, but also found some problems to be solved. 1 Materials and Methods 1.1 Clinical data: 31 patients, 19 males and 12 females, aged 16-61 years, mean age 37,2 years; 17 cases left, right 14;, 21 cases of fracture of foreign middle 1 / 3 of the junction fractures in 8 cases, 2 cases of fracture of the lateral segment; were fresh fractures, surgical treatment 0-3 days after injury. 1.2 treatment of cervical plexus anesthesia in patients supine position, suffering from shoulder pads high to fracture as the center, out of shape to do along the transverse incision clavicle, collarbone layer cut to clear the blood in the fracture, fracture slightly peeling , the fracture reduction under direct vision, 10, of comminuted fractures can be simple silk banding, will be placed in memory alloy embracing fixator 0-4 in sterile saline ice, about 5 minutes later, with the distraction distraction device The teeth hold embracing fixator to fracture as the center, surrounded by devices placed above the collarbone, fractures confirmed by the satisfaction of, and then 40-45 hot sterile gauze surrounded by hot saline control, so that rapid restitution, rinse, and the incision was sutured , 30-45 minutes of operation time, blood loss 30ml or so, after suffering from shoulder without braking. 2 Treatment outcome All 31 patients were followed up from June -6 years, the average healing time of 3 months or so. Efficacy Evaluation: Excellent: normal fracture healing, no deformity, X line of fractures of the bit is goo