两种内固定方法治疗锁骨中段骨折的临床疗效分析

Clinical effect comparison of two internal fixation methods for treatment of middle clavicular fracture

目的 探讨克氏针和钢板内固定治疗锁骨中段骨折的临床疗效。方法 回顾性的分析手术治疗锁骨中段骨折62例,其中25例采用克氏针内固定,37例采用钢板内固定,比较两组患者的骨折愈合、术后功能及并发症等指标的差异。结果 所有病例均取得6~18个月（平均8.6±4.3月）的随访,钢板组的骨折愈合和肩关节功能恢复优良率明显高于克氏针组（P﹤0.05）,两组间平均骨折愈合时间无统计学差异（P﹥0.05）,钢板组并发症发生率明显低于克氏针组（P﹤0.05）。结论 使用钢板内固定治疗锁骨中段骨折安全有效,优于传统克氏针技术。

Objective To explore the clinical efficacy of Kirsehner wire and plate internal fixation in the treatment of mid-shaft clavicle fracture. Methods Retrospective analyzed surgical treated 62 cases mid-shaft clavicle fracture, 25 cases in which were treated by Kirschner wire, 37casazes by plate fixation. The fracture healing, postoperative function and complications were compared between the two treatment groups. Results All cases were followed up for about 6 to 18 months （averagely 8.6±4.3months）. Compared with Kirsehner wire group, the fracture healing and constant shoulder score were significantly higher in the plat fixation group （P 〈 0.05）, but there was no statistical difference in average time of union of fracture between two groups （P 〉 0.05）, the complication rate in the plate group was significantly lower than that in Kirschner wire group （P 〈 0.05）. Conclusion Using plate internal fixation to treat mid-shaft clavicle fracture is safe and effective, and it is superior to the conventional Kirschner wire.