三种方法治疗锁骨重度粉碎骨折的比较

Comparison of three different treatment methods for severe comminuted clavicular fracture

目的 比较 3种方法治疗锁骨重度粉碎骨折的疗效。方法 对 95例锁骨重度粉碎骨折患者应用 3种方法治疗 :重建钢板加钢丝捆绑 (Ⅰ组 ) 2 6例、改良张力带加钢丝捆绑 (Ⅱ组 ) 32例、带锁边张力带 (Ⅲ组 ) 37例。结果 95例均获随访 1～ 2年 ,骨折愈合率 :Ⅰ组 5 7 7% ,Ⅱ组 6 8 8% ,Ⅲ组97 3%。Ⅲ组愈合率与Ⅰ、Ⅱ组分别比较 ,差异均有显著性 (P <0 0 1)。结论 带锁边张力带内固定是一种轴性及弹性整体内固定 ,较重建钢板加钢丝捆绑和改良张力带加钢丝捆绑效果好。

Objective To compare the results of 3 different treatment methods for severe comminuted clavicular fracture. Methods 95 cases of severe comminuted clavicular fractures were treated with 3 different methods:26 cases by reconstruction plate with wire (groupⅠ), 32 cases by improved tension band with wire (group Ⅱ), and 37 cases by tension band with side locking (groupⅢ ). Results All cases were followed up for 1～2 years. Fracture healing rate was 57 7% in group Ⅰ, 68 8% in groupⅡ,and 97 3% in group Ⅲ. There were significant differences between healing rates of group Ⅲ and Ⅰ? group Ⅲ and Ⅱ( P <0 01). Conclusion Tension band with side locking is a kind of axial, elastic internal fixation device as a whole, which is better than reconstruction plate with wire and improved tension band with wire.