锁骨接骨板治疗锁骨中段骨折

Clavicular Midpiece Fracture Treated by Clavicular Blade Plate

目的：探讨锁骨接骨板这一技术在治疗锁骨中段骨折中的应用及其临床效果。方法：通过系统回顾2005年5月至2008年6月我院收治的30例锁骨中段骨折患者，其中男性24例，女性6例；年龄范围从12岁到63岁，平均年龄为34岁，行手术时间为受伤后3～5天，经患侧刀砍形切口切开复位，予锁骨接骨板内固定，术后2周内予颈腕吊带悬吊，同时进行耸肩训练。术后2周后开始肩关节不持重功能锻炼。结果：30例患者手术均获成功，术后随访时间为4～12个月（平均随访时间6．5个月），所有患者局部无疼痛，行x线检查显示均为解剖骨性愈合，外观无畸形，18例患者一年后取出内固定，无再骨折发生，患者能接受切口线状疤痕，肩关节活动度：前屈平均155°，外展平均160°。结论：切开复位锁骨接骨板内固定锁骨中段骨折是一种较好的治疗方法，值得推荐。

Objective：to explore the application and the clinical effectiveness of the treatment of clavicular midpiece fracture by clavicular blade plate. Methods：A retrospective review was done for 30 clavicular midpiece fracture patients in our hospital from May,2005 to June, 2008. The patients were composed of 24 men and 6 women （mean age,34 years; range, 12-63 years）. We performed clavicular blade plate internal fixation 3- 5 days after wound. Results： all of the 30 patients were succeeded performed. We followed the patients 4~12 months postoperation （mean 6.5 months）. We found all of the fractures without local pain and got anatomical bone union seeing from the examination of X-ray test and there were no abnormalities in shape. 18 of them were taken out of the internal fixation a year later and without refracture. Most of the patients can accept the linar scars. The shoulder joint range of motion were anteflexion with mean 155°and abduction with mean 160°. Conclusion：The treatment of clavicular midpiece fracture by clavicular blade plate was a rec ommended operation.