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关节镜下经皮空心螺钉内固定治疗IdebergⅠa型肩胛盂骨折的临床研究

武海兵 陈丽敏 牛俊克 何青青

中国伤残医学2017,Vol.25Issue(8):17-18,2.
中国伤残医学2017,Vol.25Issue(8):17-18,2.DOI:10.13214/j.cnki.cjotadm.2017.08.009

关节镜下经皮空心螺钉内固定治疗IdebergⅠa型肩胛盂骨折的临床研究

Clinical study of arthroscopic percutaneous hollow screw internal fixation for treatmentof Ideberg typeⅠa glenoid fracture

武海兵 1陈丽敏 1牛俊克 1何青青2

作者信息

  • 1. 漯河市召陵区人民医院骨科,河南 漯河 462000
  • 2. 漯河医学高等专科学校第二附属医院妇产科
  • 折叠

摘要

Abstract

Objective:To evaluate the effect of arthroscopic under the clinical effect of percutaneous hollow screw internal fixation for the treatment of ideberg type Ia scapular glenoid fractures.Methods:A retrospective analysis of our hospital orthopedics with arthroscopic percutaneous cannulated screw internal fixation for the treatment of 7 cases ideberg type Ia scapular glenoid fractures.Evaluation of shoulder joint mobility,shoulder joint function CMS score and UCLA score.Results:1) 7 patients with intraoperative blood loss,operation time and hospitalization days respectively (8.9±3.2),ml (62.8±10.4) and minutes (8.6±1.3) days;24 weeks after operation in patients with shoulder flexion and external rotation degree respectively (159.7±8.9) and (67.5±4.7),internal rotation extend thumb up to an average of T8±2 level;preoperative and postoperative 24 week CMS score of the shoulder joint function respectively (53.7±2.8)% and (89.6±10.2),the difference was statistically significant (P > 0.05),the postoperative satisfaction rate was 24 weeks efficacy 85.7% (6/7);patients before and 24 weeks after operation,UCLA score of the shoulder joint function respectively (15.5±2.4)% and (31.6±2.8),the difference was statistically significant (P > 0.05),24 weeks after operation,the excellent rate was 85.7% (6/7).Conclusion:Arthroscopic by percutaneous hollow screw internal fixation should be effective therapy for treatment of ideberg type Ia scapular glenoid fractures,shoulder joint function recovery of patients with high satisfaction and safety,it might be worth clinical promotion of choice.

关键词

关节镜/IdebergⅠa型/肩胛盂骨折/CMS评分/UCLA评分

Key words

Arthroscopy/Ideberg typeⅠa/glenoid fractures/CMS score/UCLA score

分类

医药卫生

引用本文复制引用

武海兵,陈丽敏,牛俊克,何青青..关节镜下经皮空心螺钉内固定治疗IdebergⅠa型肩胛盂骨折的临床研究[J].中国伤残医学,2017,25(8):17-18,2.

中国伤残医学

1673-6567

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