重建钢板内固定治疗锁骨中段骨折的效果分析

Effect analysis of reconstruction of plate internal fixation in the treatment of middle clavicle fracture

目的探讨重建钢板内固定治疗锁骨中段骨折的效果。方法回顾性分析2013年1月~2015年12月在我院骨科治疗的54例锁骨中段骨折患者的临床资料,依据手术方式的不同分为观察组和对照组,各27例。对照组采用克氏针张力带固定,观察组采用重建钢板内固定,比较两组的手术效果、手术时间、术中出血量、住院时间、骨折愈合时间、术后并发症发生率。结果观察组的手术优良率为96.30%,显著高于对照组的74.07%,差异有统计学意义(P<0.05)。观察组的手术时间、住院时间、骨折愈合时间均显著短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组的螺钉松动、骨折移位、畸形愈合、肩周炎等并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论重建钢板内固定治疗锁骨中段骨折效果显著,手术操作简单,安全性高,骨折愈合快,并发症发生率低,具有积极的临床意义。

Objective To explore the effect of reconstruction of plate internal fixation in the treatment of middle clavicle fracture.Methods Clinical data of 54 patients with middle clavicle fractures treated in Department of Orthopedics in our hospital from January 2013 to December 2015 were retrospectively analyzed.According to different surgical modes,they were evenly divided into the control group and the observation group,27 cases in each group.In the control group, Kirschner wire tension hand for fixation was used,while in the observation group,reconstruction of plate internal fixation was adopted.The surgical effect,operation time,intraoperative amount of bleeding,hospital stay,healing time of bone fracture,and the incidence rate of postoperative complications in the two groups were compared.Results The excellent and good rate of surgery in the observation group was 96.30%,which was higher than that in the control group （74.07%）,with significant difference （P〈0.05）.Tbe operation time,hospital stay,and healing time of bone fracture in the observation group was shorter than that in the control group,intraoperative amount of bleeding in the observation group was less than that in the control group,with significant difference （P〈0.05）.The incidence rate of complications such as screw loosening,fracture displacement,malunion and scapulohumeral periarthritis in the observaiton group was lower than that in the control group,with significant difference （P〈0.05）.Conclusion Reconstruction of plate internal fixation is effective in the treatment of middle clavicle fracture at advantage of simple and easy on performance,high safety,quick bone heal, and low incidence rate of complications,which has positive clinical significance.