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The success rate at inserting the needle at the pointwhere the sound of the subclavian artery via Doppler reachedits maximum audibility was compared with that of the classicalinsertion point. In 89 of the 100 patients, the medial or posteriorcord was found at first needle pass.

使用 Doppler 超声的穿刺到锁骨下动脉的影像的位置,记录所用时间,并且传统的穿刺方法相比较。100个病人中有89个病人,一次性就穿过中间索和后索。

The investigation included a standardized 15-degree tilted radiograph of the clavicle, a 15-degree up-tilted anteroposterior panorama radiograph of the shoulder girdle, and a posteroanterior thorax radiograph.

研究包括标准的倾斜15度的锁骨片,向上倾斜15度的前后位全肩片,和后前位胸片。

Objective To investigate the treatment of acromioclavicular dislocations Tossy type Ⅲ with clavicular honk plates.

目的 探讨锁骨钩钢板治疗Tossy Ⅲ型肩锁关节脱位的疗效及术中修补喙锁韧带和脱位愈合后取出钢板的必要性。

Reconstructed coracoclavicular ligament by allogenous tendon has good material intensity, and can meet the requirements of local stress, better substitute integrity and function of coracoclavicular ligament. Moreover, it has precise effect and simple operation. It acts as long-term fixator following plate removal, thus is important supplement of clavicular crook plate fixation.

采用异体肌腱重建的喙锁韧带经过重塑形而成熟,具有较好的材料强度,能满足局部应力要求,能较好地替代喙锁韧带的完整性及功能,效果确切,操作简便,在去除钢板后发挥永久固定作用,是锁骨钩钢板固定的重要补充。

objective to investigate the treatment effect of wolter crook plate on distal clavicle fracture and acromioclavicular dislocation.methods thirty two patients underwent surgical repairs with wolter crook plate.results twenty seven cases were followed up for 12 months.according to karlsson,the excellent result was found in 19 cases;good in 8 cases;poor in 0 case.no complications such as infection,non union,plate failure,or redislocation after removal of the plate was found.conclusion the implant of wolter crook plate provides sufficient stability to allow active shoulder exercises immediately after surgery,which is worthy of clinical practice.

对32例锁骨远端骨折及肩锁关节脱位患者采用wolter钢板内固定治疗。结果本组27例获得随访,平均随访时间12个月,根据karlsson疗效评定标准:优19例;良8例;差0例。未出现感染、骨不连、钢板断裂以及内固定取出后再脱位等并发症。结论 wolter钢板固定能提供足够的生物力学稳定性,可允许患者进行早期功能锻炼,且肩关节功能恢复较好,有一定的临床推广应用价值。

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