Peng Cheng, Sun Da-chuan, Li Jun-guang, He Chen-gang, Hu Chun-lin
Department of Orthopaedics, the Fengcheng Hospital of Fengxian District, Shanghai 201411, China.
Zhongguo Gu Shang. 2010 Feb;23(2):151-3.
To investigate the safety and efficacy of close reduction and percutaneous needle fixation for the treatment of anterior dislocation of sternoclavicular joint.
A retrospective analysis was performed with 6 cases of anterior sternoclavicular dislocation by close reduction and percutaneous needle fixation with Kirschner wire treated from January 2001 to February 2009, including 5 males and 1 female aged from 19 to 45 with an average of 28.8 years old. Among the 6 cases, 4 were on right lateral and 2 were on left lateral. The time from injured to treatment was from 6 hours to 12 days (averaged 4.5 days). The clinical effects were evaluated according to Rockwood scoring and the complications were observed.
All 6 patients were followed-up for 3 to 13 months (averaged 6 months). According to Rockwood scoring,the preoperative score was (7.00 +/- 0.89) points, postoperative score was (13.17 +/- 1.72) points; the results showed excellent in 5 cases and good in 1 case. No local infection, postoperative pain,recurrent dislocation,broken needle, and other complications were observed in this study.
The treatment of anterior sternoclavicular joint dislocation with Kirschner wire minimally invasive fixation is an easy, reliable fixation with less complications.
探讨闭合复位经皮克氏针内固定治疗胸锁关节前脱位的安全性及有效性。
回顾性分析2001年1月至2009年2月采用闭合复位经皮克氏针内固定治疗的6例胸锁关节前脱位患者，其中男性5例，女性1例，年龄19～45岁，平均28.8岁。6例中右侧4例，左侧2例。受伤至治疗时间为6小时至12天（平均4.5天）。根据Rockwood评分评估临床疗效并观察并发症。
6例患者均获随访3～13个月（平均6个月）。根据Rockwood评分，术前评分为（7.00±0.89）分，术后评分为（13.17±1.72）分；结果显示优5例，良1例。本研究未观察到局部感染、术后疼痛、再脱位、断针等并发症。
克氏针微创内固定治疗胸锁关节前脱位操作简便、固定可靠、并发症少。
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