[临时髓内克氏针固定联合桥接钢板内固定治疗锁骨中段粉碎性骨折]
[Treatment of comminuted clavicle shaft fractures with provisional intra-medullary K-wire fixation and bridging plate internal fixation].
作者信息
Yang Ming, Zhang Dian-Ying, Wang Tian-Bing, Fu Zhong-Guo, Zhang Pei-Xun, Guo Meng, Xiong Jian, Jiang Bao-Guo
机构信息
Department of Trauma and Orthopeadics, Peking University People's Hospital; Peking University Traffic Medicine Center, Beijing 100044, China.
出版信息
Beijing Da Xue Xue Bao Yi Xue Ban. 2013 Oct 18;45(5):815-8.
OBJECTIVE
To discuss the operation effect of comminuted clavicle shaft fractures with provisional intramedullary K-wire fixation and bridging plate internal fixation.
METHODS
From Mar. 2008 to Jul. 2012, 22 cases of comminuted clavicle shaft fractures was treated with open reduction, and provisional intramedullary K-wire fixation and bridging plate internal fixation. The fracture healing was investigated through X-rays. The 22 cases were followed up to evaluate the function of the affected shoulder with Constant score.
RESULTS
Through the follow-up for average 15 months, all the fractures healed and the average healed time was 14.6 weeks. The average Constant score of the affected shoulder was 95.3. There were 13 excellent cases, 7 good cases, and 2 fair cases. The fineness rate was 90.9% (20/22). Soft tissue problem resulting from plate tilting occurred in 2 cases. At last, they accepted second operation to remove the implant.
CONCLUSION
Applying provisional intramedullary K-wire fixation and bridging plate internal fixation in comminuted clavicle shaft fractures, makes procedure simple, improves healing rate and decreases the complications.
目的
探讨采用临时髓内克氏针固定联合桥接钢板内固定治疗锁骨中段粉碎性骨折的手术效果。
方法
2008年3月至2012年7月，对22例锁骨中段粉碎性骨折患者行切开复位，采用临时髓内克氏针固定联合桥接钢板内固定。通过X线观察骨折愈合情况。对22例患者进行随访，采用Constant评分评估患肩功能。
结果
平均随访15个月，所有骨折均愈合，平均愈合时间为14.6周。患肩Constant评分平均为95.3分。优13例，良7例，可2例。优良率为90.9%（20/22）。2例出现钢板翘起导致的软组织问题，最终接受二次手术取出内固定物。
结论
采用临时髓内克氏针固定联合桥接钢板内固定治疗锁骨中段粉碎性骨折，手术操作简单，提高了骨折愈合率，减少了并发症的发生。
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