3种内固定方法治疗锁骨骨折临床分析

Clinical analysis of 3 kinds of fixation methods in the treatment of clavicle fracture

目的探讨克氏针、重建钢板、锁骨钩钢板治疗锁骨骨折的临床疗效。方法选取2005年6月-2012年11月收入我院锁骨骨折患者120例,随机分为克氏针治疗组、重建钢板治疗组和锁骨钩钢板治疗组,分析3组患者临床疗效及并发症的发生率。结果所有患者完成随访,术后随访10-30个月,平均22个月。克氏针治疗组,优：13例,良：22例,可：5,差：0例;重建钢板治疗组,优：29例,良：7例,可：7例,差0例,锁骨钩钢板治疗组,优：31例,良：7例,可：2例,差：0例。结论应根据患者的骨折部位,骨折类型、合并肌腱损伤情况综合分析,确定合理的内固定方式。

Objective To explore the clinical efficacy of kirschner, reconstruction plate and clavicular hook plate in the treatment of clavicle fracture. Methods 120 cases with clavicle fracture in our hospital from June 2005 to November 2012 were selected, they were randomly divided into kirschner treatment group, reconstruction plate treatment group and clavicular hook plate treatment group, analyzed the clinical efficacy and the incidence of complications of the 3 groups. Results All the patients were completed the follow-up, they were followed up for 10 to 30 months, an average of 22 months. Kirschner treatment group, excellent： 13 cases, good： 22 cases, okay 5cases, bad： 0 case. reconstruction plate treatment group, excellent： 29 cases, good： 7 cases, okay 7cases, bad： 0 case. Clavicular hook plate treatment group, excellent： 31 cases, good： 7 cases, okay 2 cases, bad： 0 case. Conclusion It should be bases on the patients＇ fracture site, fracture type, and combine tendon injury to comprehensively analyze and determine a reasonable internal fixation.