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目的:探讨弹性髓内钉治疗儿童锁骨中段骨折的方法和临床疗效。方法:自2010年8月至2015年8月,采用弹性髓内钉治疗16例儿童锁骨中段骨折,对疼痛VAS评分、Constant评分、临床愈合时间、并发症等进行评估。结果:16例完成随访,时间6~10(8.70±1.26)个月。骨折均获临床及影像学愈合,愈合时间6~10(8.27±1.23)周。术后12~20(14.24±2.12)周取出内固定,无一例发生再骨折。术后3d疼痛VAS评分较术前明显缓解(P<0.05)。术后6个月患肩Constant评分为94~100(98.26±1.33)分。结论:弹性髓内钉治疗儿童锁骨中段骨折具有微创、美观、功能恢复良好、并发症少等优点。
Objective: To investigate the method and clinical efficacy of elastic intramedullary nail in the treatment of mid-clavicular fracture in children. Methods: From August 2010 to August 2015, 16 cases of middle-aged clavicular fractures of children were treated with elastic intramedullary nailing. The pain VAS score, Constant score, clinical healing time and complications were evaluated. Results: 16 cases were followed up for 6 to 10 months (8.70 ± 1.26) months. Fractures were clinically and radiologically healed, healing time 6 to 10 (8.27 ± 1.23) weeks. Postoperative 12 to 20 (14.24 ± 2.12) weeks out of internal fixation, no case of another fracture. The VAS score of postoperative 3d pain relief was significantly relieved (P <0.05). Shoulder Constant score was 94-100 (98.26 ± 1.33) points 6 months after operation. CONCLUSION: The elastic intramedullary nailing has the advantages of minimally invasive, beautiful appearance, good function recovery and few complications in the middle section of children’s clavicle.