锁骨中段骨折治疗的比较性研究及生物力学机制  

Relativity reseach and biological mechanics mechanism of middle-third fracture of the clavicle

作　　者：曹衍玉 朱卫成[1] 

机构地区：[1]东莞市塘厦人民医院,广东东莞523721

出　　处：《临床医药实践》2004年第7期493-495,共3页Proceeding of Clinical Medicine

摘　　要：目的 :通过对锁骨骨折内固定不同方法的观察 ,探讨锁骨骨折手术治疗方法和效果。方法 :对 78例锁骨骨折采用切开复位内固定 ,其中 5 7例用克氏针加钢丝固定 ,2 1例用重建钢板固定治疗 ,并进行比较。结果 :本组病例骨折复位均满意 ,两组骨折愈合时间无明显差异 ,肩关节功能重建钢板组较好。结论 :锁骨骨折行手术切开重建钢板固定并发症少 ,效果良好。Objective:To look for an ideal method of clavicular fracture by comparable study.Methods:A retrospective analysis was carried out in 78 hospitalized patients with clavicular fracture from January 1994 to Feb.2002.The patients were divided into two groups.Group one(n=57)was treated by Kessian′s needle and wire,the other one(n=21)was treated by reconstructive plate.Results:The results showed that the therapeutic effect was excellent in group Ⅱ.Conclusions:According to the physiological characteristics of clavicle in the movement of shoulder girdle and the complications,it is the better method for treatment the clavicular fracture by using the reconstructive plate.

关 键 词：锁骨中段骨折 生物力学 内固定治疗 克氏针 钢丝 重建钢板 

分 类 号：R683.41[医药卫生—骨科学] R687.32[医药卫生—外科学]