Sun Fang-Gui, Liu Rui, Xiong Xin-Wei, Xu Rong-Ming, Zhang Qiang-Li
The Orthopaedic Centre, Mingzhou Hospital of Zhejiang University, Ningbo 315000, Zhejiang, China.
Zhongguo Gu Shang. 2022 Oct 25;35(10):1004-7. doi: 10.12200/j.issn.1003-0034.2022.10.019.
To investigate clinical effect of sternoclavicular hook plate in treating acute proximal clavicle fracture.
The clinical of 12 patients with acute unstable proximal clavicle fracture from June 2016 to June 2019 were retrospectively analyzed. There were 8 males and 4 females, aged from 46 to 63 years old. Ten patients caused by car accident and 2 patients caused by high falling. All patients had multiple injuries;the time from injury to surgery ranged from 2 to 14 d. All patients were treated with domestic sternoclavicular joint hook plate. The operative time ranged from 40 to 115 min. The intraoperative bleeding volume ranged from 30 to 110 ml, follow-up time ranged from 10 to 36 months, the fracture healing time ranged from 8 to 18 weeks. At the latest follow-up, the efficacy was evaluated by using shoulder joint function score (Rockwood score).
All 12 patients were followed up, with no obvious pain at the latest follow-up. The rockwood scores of the affected shoulder ranged from 13 to 14, and the healthy shoulder ranged from 14 to 15.
The sternocleidoclavicular joint plate is fixed with preformed plate. The cantilever is designed to retain the motion of the sternoclavicular joint. It's safe and simple, avoid, the injury of important organs during operation, and has a good prognosis. It is an ideal fixation method for the treatment of proximal clavicle fracture.
探讨锁骨钩钢板治疗急性锁骨近端骨折的临床效果。
回顾性分析2016年6月至2019年6月收治的12例急性不稳定锁骨近端骨折患者的临床资料。其中男性8例，女性4例，年龄46～63岁。车祸致伤10例，高处坠落致伤2例。所有患者均为多发伤；受伤至手术时间为2～14天。所有患者均采用国产胸锁关节钩钢板治疗。手术时间40～115分钟，术中出血量30～110毫升，随访时间10～36个月，骨折愈合时间8～18周。末次随访时采用肩关节功能评分（Rockwood评分）评估疗效。
12例患者均获随访，末次随访时均无明显疼痛。患侧肩关节Rockwood评分为13～14分，健侧肩关节为14～15分。
胸锁关节钢板采用预弯钢板固定，其悬臂设计可保留胸锁关节活动。该方法安全简便，避免术中重要脏器损伤，预后良好。是治疗锁骨近端骨折的理想固定方法。
