锁定重建钢板治疗粉碎性肩胛骨骨折的临床探究.pdfVIP

提 要 目的： 方法：对 25 例肩胛骨骨折患者通过 X 线、CT 三维重建等明确诊断，并对骨折 进行分类，明确手术指证并排除手术禁忌后行个体化手术治疗，术后积极进行早期功 能锻炼，并定期随访，进行回顾性分析，对 结果：8～12 Hardegger 17 6 2 92% 结论：对肩胛骨骨折患者采用不同角度X 线、CT 三维重建有利于骨折尽早明确 诊断，更好的了解骨折类型和程度，有利于尽快选择合适治疗手段。 关键词 肩胛骨粉碎性骨折；手术治疗；锁定重建钢板 Clinical study on comminuted scapula fractures with locking reconstruction plate treatment Specialty:Orthopedics of TCM Author:Qiu qingde Tutor:Prof.Xie jin Abstract Objective: Based on clinical observation of the locking reconstruction plate t- reatment of comminuted scapula fractures, to investigate the early diagnosis,the class- ification, Surgical indications, surgical approach, fixed form, clinical effect, and to pr- ovide the proofs to guide the diagnosis and treatment in clinic practice. Methods: The study group includes 25 cases for comminuted scapula fractur- es, views of X—ray and 3—dimensional CT image reconstruction were used to conf- rm their injures before surgery. And to classify fractures, clear operation testify, exclu- de operative taboo ，surgery，active early postoperative functional exercise, regular f- ollow-up,evaluate the curative effect of locking reconstruction plate fixation in treat- ment of comminuted fractures of the scapula. Results: The 25 cases were followed up. All got bony healing and a good fu- nctional activity of limb activity. According to the Hardegger evaluation, all cases we- re divided into 4 groups, excellent cases, good cases, fair cases and poor cases, there were 17 excellent cases, 6 good cases, 2 fair cases, and not have poor cases. The exce- llent and