缝合锚钉固定治疗不稳定型锁骨远端骨折

Suture-anchor in treatment of unstable distal clavicle fracture

目的探讨应用缝合锚钉固定治疗不稳定型锁骨远端骨折的临床疗效。方法使用缝合锚钉固定治疗26例不稳定型锁骨远端骨折患者。术后肩关节功能采用Constant-Merley评分。结果患者均获得随访,时间8～18个月。骨折均愈合。Constant-Merley评分为82～100分。结论缝合锚钉治疗不稳定型锁骨远端骨折手术损伤小、固定稳定、符合生物力学要求;功能恢复良好,临床效果满意。

Objective To evaluate the effect of suture-anchor in treatment of unstable distal clavicle fracture. Meth- ods 26 cases of unstable distal clavicle fracture were treated using suture-anchor technique in our department. Con- stant-Merley scoring system was used to evaluate the postoperative function of the shoulder. Results All the 26 cases were followed up for 8 -18 months. All the fractures got union, and the Constant-Merley score was 82 -100 points. Conclusions Suture-anchor treatment has advantages of less operation injury, stable fixation, suitability for the bio- mechanical requirements, good function resume, and satisfied clinical outcome.