钢板联合克氏针固定治疗粉碎性锁骨骨折的疗效观察

Clinical Observation on Curative Effect of Steel Plate Combined with Kirschner Needle Fixation in the Treatment of Comminuted Clavicular Fracture

目的探讨钢板固定联合克氏针治疗粉碎性锁骨骨折的疗效和安全性。方法选取我院收治的60例粉碎性锁骨骨折患者,随机分为观察组和对照组各30例。对照组常规行钢板固定治疗,观察组在对照组的基础上加用小一号的克氏针进行内固定。比较两组患者的手术时间、术中出血量、骨折愈合时间、疗效和并发症情况。结果两组患者的手术时间和术中出血量比较差异均无统计学意义(P>0.05)。观察组的骨折愈合时间明显短于对照组,治疗优良率明显高于对照组,差异均有统计学意义(P<0.05)。两组患者的并发症发生率比较差异无统计学意义(P>0.05)。结论钢板联合克氏针固定治疗粉碎性锁骨骨折的疗效和安全性较好,值得临床推广应用。

Objective To explore the curative effect and safety of steel plate combined with Kirschner needle fixation in the treatment of comminuted clavicular fracture. Methods 60 cases of patients with comminuted clavicular fracture in our hospital were selected and randomly divided into observation group and control group, with 30 cases in each group. The control group received conventional plate fixation, while the observation group received plate fixation combined with internal fixation with a smaller size Kirschner needle. The operation time, intraoperative blood loss, fracture healing time, curative effect and complications were compared between two groups. Results No statistical difference was found in the operation time and intraoperative blood loss between two groups （P〉0.05）. The fracture healing time of observation group was significantly shorter than that of control group, and the excellent and good rate of treatment of observation group was significantly higher than that of control group, with statistical differences （P 〈0.05）. No statistical difference was found in the incidence of complications between two groups （P〉0.05）. Conclusions Steel plate combined with Kirschner needle fixation in the treatment of comminuted clavicular fracture has better curative effect and safety, which is worthy of clinical promotion and application.