经皮LCP桥接内固定治疗锁骨中段粉碎性骨折

Percutaneous Lcp bridge internal fixation to treat midclavicle comminuted fracture

目的 探讨经皮微创锁定加压钢板（locking compression plate,LCP）桥接内固定治疗锁骨中段粉碎性骨折的临床疗效.方法 2009年11月-2014年5月,采用间接复位技术,通过建立骨折两端皮下隧道,采用LCP桥接内固定治疗锁骨中段粉碎性骨折24例.结果 全部病例均获随访,随访时间6-18个月,平均14个月.骨折愈合时间为6-12周（平均7.5周）,无骨折延迟愈合、不愈合、感染及内固定失败等并发症.结论 经皮微创LCP桥接内固定治疗锁骨中段粉碎性骨折符合生物学固定（BO）原则,具有微创、美观、愈合率高及肩关节功能恢复好等优点.

Objective To discuss the clinical effect of percutaneous Lcp （clocking compression plate） internal fixation on midclavicle comminuted fracture. Methods From Nov 2009 to May 2014, 24 cases of midclavicle comminuted fracture were reducted indirectly, through subcutaneous tunnel between two sides of fracture end, and internally fixed by Lap. Results All cases were followed up for 6-18 months, with the average of 14 months. Osteal heading time was 6-12 weeks （average 7.5 weeks）, without any delayed healing, ununion, infection, fixation failure or other complications. Conclusion Percutaneous microinvasive Lap bridge internal fixation to treat midclavicle fracture, coincide the BO principle, has the advantages of microinvasion, good looking, high healing rate, and good shoulder function recovery.