锁骨钩锁定板联合克氏针治疗粉碎性CraigⅡ和Ⅴ型锁骨远端骨折疗效分析

Efficacy of clavicular hook locking plate combined with Kirschner wire in treatment of comminuted Craig type Ⅱ and type Ⅴ distal clavicle fractures

回顾性分析2013年7月至2015年1月滕州市中心人民医院应用锁骨钩锁定板联合克氏针治疗粉碎性Craig Ⅱ型和Ⅴ型锁骨远端骨折的43例患者临床资料。术后随访12～20个月，平均18个月，骨折均临床愈合，无骨折延迟愈合、不愈合、钢板断裂及锁骨再骨折。术后3、6个月随访时肩关节Constant－Murley评分、生活质量视觉模拟评分量表（VAS）评分分别为（75.1±1.4）和（85.6±1.3）分、（7.02±0.67）和（8.16±0.57）分，与术前的（44.3±1.8）和（2.54±0.67）分相比均逐渐提高，差异均有统计学意义（均P〈0.05）。提示锁骨钩锁定板联合克氏针治疗粉碎性Craig Ⅱ型和Ⅴ型锁骨远端骨折临床疗效满意，骨愈合率高。

Forty-three patients with comminuted Craig type Ⅱand Ⅴ distal clavicle fractures were treated with clavicular hook locking plate and Kirschner wire from July 2013 to January 2015 in Tengzhou Central People′s Hospital. Patients were followed up for 12-20 months with an average of 18 months. All fractures were clinically healed. In the 3 and 6 months after the operation, the Constant-Murley function score and the visual analogue score （VAS） of the quality of life satisfaction were improved compared with those before operation （75.1±1.4 and 85.6±1.3 vs. 44.3±1.8; 7.02±0.67 and 8.16±0.57 vs. 2.54±0.67, all P〈0.05）. There were no fracture delayed healing, nonunion, plate fracture and clavicular re-fracture among all patients. It is suggested that the curative effect of the clavicular hook locking plate combined with Kirschner wire is satisfactory and the bone healing rate is high for comminuted Craig type Ⅱ and Ⅴ type distal clavicle fractures.