克氏针微创治疗胸锁关节前脱位

Treatment of anterior dislocation of sternoclavicular joint with Kirschner wire minimally invasive fixation

目的:探讨闭合复位经皮克氏针穿针治疗胸锁关节前脱位的安全性及疗效。方法:2001年1月至2009年2月治疗胸锁关节前脱位患者6例,男5例,女1例;年龄19～45岁,平均28.8岁;右侧4例,左侧2例;受伤到治疗时间6h～12d,平均4.5d。采用闭合复位克氏针经皮穿针治疗。按照Rockwood胸锁关节评分法对疗效进行评价,并观察并发症情况。结果:6例获得随访,时间3～13个月,平均6个月。术前得分(7.00±0.89)分,术后得分(13.17±1.72)分;优5例,良1例。无局部感染、术后疼痛、脱位复发、断针、退针等并发症发生。结论:克氏针经皮穿针治疗胸锁关节前脱位操作简便、固定牢靠、并发症少,值得临床选择。

Objective：To investigate the safety and efficacy of close reduction and percutaneous needle fixation for the treatment of anterior dislocation of sternoclavicular joint. Methods：A retrospective analysis was performed with 6 cases of anterior sternoclavicular dislocation by close reduction and percutaneous needle fixation with Kirschner wire treated from January 2001 to February 2009,including 5 males and 1 female aged from 19 to 45 with an average of 28.8 years old. Among the 6 cases,4 were on right lateral and 2 were on left lateral. The time from injured to treatment was from 6 hours to 12 days （averaged 4.5 days）. The clinical effects were evaluated according to Rockwood scoring and the complications were observed. Results：All 6 patients were followed up for 3 to 13 months （averaged 6 months）. According to Rockwood scoring,the preoperative score was （7.00±0.89） points,postoperative score was （13.17±1.72） points; the results showed excellent in 5 cases and good in 1 case. No local infection,postoperative pain,recurrent dislocation,broken needle,and other complications were observed in this study. Conclusion：The treatment of anterior sternoclavicular joint dislocation with Kirschner wire minimally invasive fixation is an easy,reliable fixation with less complications.