形状记忆合金环抱器与重建钢板治疗锁骨粉碎性骨折对比研究.docVIP

形状记忆合金环抱器与重建钢板治疗锁骨粉碎性骨折对比研究 　　【摘 要】 目的:比较形状记忆合金抱骨器和重建钢板治疗锁骨粉碎性骨折的临床疗效。方法:46例锁骨粉碎性骨折随机分为A组22例采用形状记忆合金环抱器固定,B组24例采用重建钢板固定。记录所有病例手术时间及术后住院日,术后随访根据术后X线片及肩关节功能恢复情况评定疗效。结果:形状记忆合金抱骨器组比重建钢板组手术时间显著缩短(P0.05)。术后随访结果形状记忆合金抱骨器组优16例,良5例,可1例;重建钢板组优17例,良4例,可1例,差1例。结论:形状记忆合金抱骨器是治疗锁骨粉碎性骨折的有效方法,且具有手术时间短,创伤小等优点。 　　【关键词】 锁骨粉碎性骨折 形状记忆合金环抱器 重建钢板 　　 　　Comparative study for shape memory alloy embracing and reconstruction plate for comminuted clavicular treatment 　　Xu Yuehong,et al 　　【Abstract】 Objective:To compare the shape memory alloy have bone and reconstruction plate for the treatment of comminuted fracture of the clavicle clinical efficacy. Methods: 46 cases of clavicle comminuted fracture were randomly divided into A group of 22 cases of the use of shape memory alloy embracing fixed, B group of 24 cases use reconstruction plate. Records of all cases of operative time and postoperative hospital stay, postoperative follow-up X-ray film in accordance with postoperative functional recovery and shoulder evaluated. Results: Shape memory alloy have bone group than the reconstruction plate group significantly shorter operative time(P>0.05), postoperative hospital stay were not significantly different (P< 0.05). Postoperative follow-up results of shape memory alloy have excellent bone group 16 cases, good in 5 cases, 1 case; reconstruction plate group 17 cases of excellent, good in 4 cases, 1 case and poor in 1 case. Conclusion: shape memory alloy have comminuted clavicle bone is effective treatment methods, and has short operation time, trauma, etc. 　　【Key words】 Clavicle comminuted fracture Shape memory alloy embracing Reconstruction plate 　　 　　锁骨骨折是临床上较常见的骨折,多由间接暴力所致。对位对线较好的锁骨骨折可采用非手术疗法,对粉碎性移位骨折需采用手术内固定治疗[1]。目前有多种内固定方法应用临床,如克氏针髓内固定法,重建钢板固定法,记忆合金固定法,各有优缺点。2004年8月~2008年9月我们采用镍钛记忆合金环抱器和重建钢板治疗锁骨粉碎性骨折46例,并对临床结果比较分析,现报告如下: 　　 　　1 材料与方法 　　 　　1.1 内固定材料。A组采用兰州西脉记忆合金公司生产的镍钛形状记忆合金环抱器,适应锁骨不同部位分为弯形、锥形、异形,生物相容性好,植入体内无毒副作用,力学设计合理,在0~4℃冰盐水中环抱臂张开,于4℃时环抱臂闭合。B组采用重建钢板螺钉固定,根据骨折不同程度选用5~7孔重建钢板固定。