解剖锁定型钢板治疗锁骨粉碎性骨折的疗效分析

Treatment of Comminuted Clavicle Fractures Using Anatomical Locking Plates

目的:探讨采用解剖锁定型钢板内固定治疗锁骨严重粉碎性骨折的手术疗效。方法:对45例锁骨严重粉碎性骨折的患者行解剖锁定型钢板内固定手术治疗,并对其进行随访,观察疗效。结果:45例患者经6～16个月随访,均于术后8～10周临床愈合,无骨不连、内固定失效、再骨折等发生。按加利福尼亚大学(University of California at Los Angeles,UCLA)肩关节等级评分标准评定为优38例,良7例。结论:采用解剖锁定型钢板内固定治疗锁骨严重粉碎性骨折具有复位良好、固定稳定、并发症少、便于肩关节功能锻炼等优点,值得推广。

Objective：To investigate the efficacy of anatomic locking plate fixation in the treatment of comminuted clavicle fractures. Methods：A total of 46 patients with comminuted clavicle fractures underwent anatomical locking plate internal fixation surgery. Results： Totally 46 patients have been postoperatively followed up for 6- 16 months, and all fractures healed in 8 - 10 weeks after surgery with no incidence of non-union, internal fixation failure or refracture. According to University of California at Los Angeles（UCLA） shoulder rating scale, the shoulder function was excellent in 38 cases, good in 7 cases. Conclusions： Anatomical locking plate internal fixation surgery has good efficacy in comminuted clavicle fracture.