浅谈重建钢板前置内固定治疗锁骨骨折的临床体会
高会刚
（吉林公主岭中医院，吉林 四平，136100）
中图分类号：R683 文献标识码：A 文章编号：1674-7860(2015)27-0117-02 证型：AGI
【摘 要】目的：探讨分析对锁骨骨折患者进行重建钢板前置内固定治疗的临床效果。方法：对2010年8月—2013年8月在我院接受治疗的锁骨骨折患者50例，均采用重建钢板前置内固定，其中辅以粗丝线或细钢丝内捆扎固定16例。结果：随访6～36个月，平均12.6个月，术后X线片检查显示骨折均为解剖复位，内固定物无松动、变形、断裂，无术后再发骨折移位，无骨折延迟愈合、不愈合和畸形愈合。术后12～27 d，肩关节活动基本正常。结论：重建钢板前置内固定锁骨骨折，操作简单、固定牢靠，可以早期活动肩关节，肩关节功能恢复快，治疗效果满意，值得临床推广。
【关键词】锁骨骨折；重建钢板；前置内固定；临床效果
【Abstract】Objective: To investigate and analyze theclinical effect of reconstruction plate internal fixation on clavicle fracture.Methods: 50 cases with clavicular fracture from August 2010 to August 2013 inour hospital were treated with front plate fixation, and.16 cases were treatedby with rough silk or fine wire bundled. Results: All cases were followed upfor 6 to 36 months, 12.6 months on average. The X-ray examination was maintained. , the fracture was anatomicalreduction, internal fixation without loosening, deformation, fracture,no postoperative recurrence of fracture displacement, no delayed fracturehealing , nonunion and malunion. After 12 ~ 27 days the normal shoulder motionwas seen. Conclusion: Pre reconstruction plate fixation of clavicular fractureis a simple operation with stable fixation, early shoulder mobilization, shoulderfunctional recovery faster and overall the treatment satisfaction so it shouldbe promoted in clinical practice.
【Keywords】Clavicularfracture; Pre reconstruction plate; Internal fixation; Clinical effect
doi:10.3969/j.issn.1674-7860.2015.27.057
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