[摘要] 目的 探討鎖骨遠端切除對鎖骨功能的影響。方法 自2005年-2010年，我們採用鎖骨遠端切除術對鎖骨遠端骨折、肩鎖關節骨折或骨折脫位及肩鎖關節炎共37例進行了手術治療。其中鎖骨遠端粉碎性骨折9例，肩鎖關節骨折脫位23例，肩鎖關節炎5例。對以上不同病例採用不同的手術方法進行治療，其中皆包含鎖骨遠端切除。結果37例皆獲得了隨訪，隨訪時間平均為1年。患者的頭頸部活動及肩關節活動基本或達到正常，和健側肩關節功能對比，沒有顯著性差異。結論 頭頸部和肩關節活動取決於鎖骨的位置和穩定性，鎖骨遠端切除對鎖骨的功能沒有影響。寧夏醫科大學總醫院創傷骨科安維軍
[關鍵詞] 鎖骨遠端切除術
Is distal clavicle resection influence on the clavicle functions
AN Wei-jun,FENG-yu,WANG-zheng.(Affiliated Hosp. of Ningxia Med. University.,Yinchuan 750004,China )
[Abstract] Objective To study that the distal clavicle resection influence on the clavicle function. Method
From 2005 to 2010, we used distal clavicle resection to surgical treating 37 cases of the distal clavicle fracture, fracture and dislocation of acromioclavicular and acromioclavicular arthritis. 9 cases in which distal clavicle conminuted fracture, acromioclavicular joint fracture-dislocation in 23 cases, 5 cases of acromioclavicular arthritis. Different cases of the above methods using different surgical treatment,All cases are included distal clavicle resection. Results 37 patients were obtained followed up of an average of 1 year. Activity in patients with head and neck and shoulder joint activities to achieve the basic or normal, and the contralateral shoulder function compared, no significant difference. Conclusion
The head and neck and shoulder range of motion depends on the location and stability of the clavicle, distal clavicle resection did not affect the function of the clavicle.
[Key words ] distal clavicle resection
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