带外侧延伸部的锁定加压锁骨干前上方接骨板在锁骨近端骨折中的应用

The application of locking compression clavicle plate with the lateral extension in the treatment of proximal clavicle fracture

目的探讨使用带外侧延伸部的锁定加压锁骨干前上方接骨板内固定治疗锁骨近端骨折,并评价其疗效。方法 2011年2月~2014年2月使用带外侧延伸部的锁定加压锁骨干前上方接骨板治疗锁骨近端骨折13例并评价其效果。锁骨近端骨折按Edinburg分型:1A1型1例,1A2型5例,1B1型5例,1B2型2例。结果 13例患者均获得随访,随访时间0.5~1.5年,平均11个月。13例患者骨折全部愈合,根据Rockwood评分,优8例,良2例,可3例。优良率为76.9﹪。结论带外侧延伸部的锁定加压锁骨干前上方接骨板内固定治疗锁骨近端骨折疗效良好,固定牢固,可以早期功能锻炼,术后并发症较少,肩关节功能恢复良好。

Objective To disscuss the appliacation of locking compression clavicle plate with the lateral extension in the treatment of proximal clavicle fracture. Methods By the Edinburgh classification, there were 1 case of type 1A1,5 cases of type 1B1,5 cases of type 1B2 and 2 cases of type 1B2 proximal clavicle fractures were retrospective analyzed, all the patients were treated with locking compression clavicle plate with the lateral extension from February 2011 to February2014. Results All 13 patients were follow- up. The average follow-up period was 11 months(range 6 to 18), all the operated fractures obtained anatomic reduction and bony union. The results of clinical evaluation according to Rockwood were excellent in 8 cases. Good in 2 cases, fine in 3 cases. Conclusion Appliacation of locking compression clavicle plate with the lateral extension in th treatment of proximal clavicle fracture were a superior option, is helpful to satisfactory reduction and reliable fixation, shoulder joint function recovered good. It is a good choice for fixation of Proximal clavicle fractures.