锁骨中段骨折两种内固定方式临床疗效比较

Comparison of 2 Fracture Fixations for Clavicle Midpiece Fracture Treatment

目的:研究克氏针与重建钢板内固定治疗锁骨中段骨折的临床疗效。方法:依数字随机法将105例锁骨中段骨折者分为两组,分别采用重建钢板与克氏针内固定治疗,比较两组疗效。结果:重建钢板内固定组骨折平均愈合时间3个月,其中优40例,良4例,差3例,优良率93.6%;克氏针髓内固定组骨折平均愈合时间4个月,优27例,良13例,差14例,优良率74.1%。两组优良率比较有显著性差异(P<0.01)。结论:重建钢板内固定治疗锁骨中段骨折固定牢靠,为治疗锁骨中段骨折首选方法。

Objective： To evaluate the clinical effects of reconstruction plate in treatment of clavicle midpiece fracture and compare with Kirschncr＇s wire. Methods： To comparative analyse the outcomes of clavicle midpiece fracture treated by reconstruction plate and by Kirschner＇s wire retrospectively. Results： In reconstruction plate group,mean heal time was 3 months. 40 cases were excellent, 4 cases were good, 3 cases were worse. The rate of excellent and good was 93.6%. In Kirschner＇s group,the mean heal time was 4 months. 27 cases were excellent,13 cases were good, 14 cases were worse. The rate of excellent and good was 74.1%（P 〈0. 01 ）. Conclusion： Open reduction and internal fixation with reconstruction plates is the first choice for the treatment of clavicle midpiece fracture.