锁骨骨折的固定方式选择  

Choice of the Fixation for the Treatment of Clavicle Fracture

作　　者：朱求亮[1] 颜茂华[1] 娄云龙[1] 宋涛[1] 戎露江[1] 唐小强[1] 罗建民[1] 徐国荣[1] 

机构地区：[1]浙江省安吉县人民医院骨科,浙江安吉313300

出　　处：《实用骨科杂志》2005年第2期101-102,共2页Journal of Practical Orthopaedics

摘　　要：目的　探讨锁骨骨折的固定方式。方法　117例锁骨骨折患者,分别用石膏、克氏针及重建钢板固定,分析三组在骨折愈合时间、并发症、畸形愈合的发生率,以及治疗费用的差异。结果　石膏固定组畸形愈合发生率高,治疗费用低,克氏针固定组骨折愈合快,并发症多,钢板固定组并发症少,无畸形愈合,但治疗费用高,愈合慢。结论　对某一具体的锁骨骨折患者要根据骨折类型、部位、年龄以及经济状况等综合权衡。Objective To explore the fixation technique for the treatment of clavicle fracture. Methods Thirty-seven cases of clavicle fracture were fixed with figure of eight bandage, fifty-seven cases were fixed with kunchner′s wire and twenty-three cases were fixed with reconstruction plate. The healing time, healing spend, malunion rate and the complications of the three methods have been compared. All patients were followed up for 3 to 10 months. Results In the three methods, the fixation of bandage has most malunion and lowest healing spend, the fixation of kunchner wire has most complications and shortest healing time, and the fixation of reconstruction plate has lowest complication and malunion, but it need a lot of money. Conclusion Which method should be choosed to fix the clavicle fracture is determined to the type of fracture and the age, the economic condition of the patient.

关 键 词：锁骨骨折 方式选择 重建钢板固定 骨折愈合时间 畸形愈合 治疗费用 固定方式 骨折患者 克氏针固定 并发症 石膏固定 骨折类型 综合权衡 经济状况 发生率 

分 类 号：R683.41[医药卫生—骨科学] R683.530.5[医药卫生—外科学]