浅谈重建钢板前置内固定治疗锁骨骨折的临床体会

Clinical experience of treatment of clavicular fracture by reconstruction plate internal fixation

目的：探讨分析对锁骨骨折患者进行重建钢板前置内固定治疗的临床效果。方法：对2010年8月—2013年8月在我院接受治疗的锁骨骨折患者50例,均采用重建钢板前置内固定,其中辅以粗丝线或细钢丝内捆扎固定16例。结果：随访6-36个月,平均12.6个月,术后X线片检查显示骨折均为解剖复位,内固定物无松动、变形、断裂,无术后再发骨折移位,无骨折延迟愈合、不愈合和畸形愈合。术后12-27 d,肩关节活动基本正常。结论：重建钢板前置内固定锁骨骨折,操作简单、固定牢靠,可以早期活动肩关节,肩关节功能恢复快,治疗效果满意,值得临床推广。

Objective： To investigate and analyze the clinical effect of reconstruction plate internal fixation on clavicle fracture. Methods： 50 cases with clavicular fracture from August 2010 to August 2013 in our hospital were treated with front plate fixation, and.16 cases were treated by with rough silk or fine wire bundled. Results： All cases were followed up for 6 to 36 months, 12.6 months on average. The X-ray examination was maintained., the fracture was anatomical reduction, internal fixation without loosening, deformation, fracture, no postoperative recurrence of fracture displacement, no delayed fracture healing, nonunion and malunion. After 12 ~ 27 days the normal shoulder motion was seen. Conclusion： Pre reconstruction plate fixation of clavicular fracture is a simple operation with stable fixation, early shoulder mobilization, shoulder functional recovery faster and overall the treatment satisfaction so it should be promoted in clinical practice.