通用重建带微创治疗锁骨中段骨折

Treating midshaft clavicle fracture with universal reconstruction ribbon plates by MIPPO technique

目的探讨运用通用重建带微创治疗锁骨中段骨折的疗效。方法对利用通用重建带经皮微创治疗锁骨中段骨折的51例患者的临床资料进行回顾性分析,评价患者骨折愈合情况,包括X线检查和功能恢复情况,观察是否存在并发症。结果51例患者随访时间为3~30个月,平均18.3个月。经X线片证实,51例全部愈合,时间为2~4个月,平均2.8个月;其中有2例出现骨折近端螺钉松动。随访终点,患者未出现骨不连和感染等不良并发症;皮肤切口短小且愈合良好;肩关节功能恢复良好。结论通用重建带微创固定技术是一种安全、有效、切口美观、并发症少的治疗锁骨中段骨折的方法。

Objective To investigate the effect of universal reconstruction ribbon plates by minimally invasive percutaneous plate osteosynthesis （MIPPO） technique on the treatment of midshaft clavicle fracture. Methods The clinical data of 51 patients with midshaft clavicle fracture treated with universal reconstruction ribbon plates by MIPPO technique were retrospectively reviewed. The bone healing, X ray findings, function recovery and complications were evaluated. Results The time of follow-up was 3 to 30 months, with an average of 18.3 months. It was revealed by X ray that all the patients had the bones healed, and the time of healing was 2 to 4 months, with an averag^e of 2.8 months. However, screw loose was found in 2 cases. All the patients had favourable functional recovery without complications such as nonunions and infections. The skin incisions were tiny and well healed, and the shoulder function recovered favourably. Conclusion The universal reconstruction ribbon plates by MIPPO technique is an effective and safe method to treat midshaft clavicle fracture with less complications.