重建钢板前置法治疗锁骨骨折回顾性研究  

Retrospective Study of Fore-lying Reconstruction Plate in Treating Fracture of Collar Bone

作　　者：邓敦[1] 曹成福[1] 纪斌[1] 姜玉祥[1] 周军杰[1] 石继祥[1] 成翔宇[1] 石文俊[1] 赵映[1] 王臻[1] 

机构地区：[1]上海中医药大学附属普陀医院骨科,上海200062

出　　处：《中国中医骨伤科杂志》2008年第10期3-4,共2页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：上海市重点学科项目(第二期)(NO:T0303);国家教育部重点学科项目

摘　　要：目的:探讨重建钢板前置法治疗锁骨骨折效果。方法:分别用克氏针法、重建钢板上置法、重建钢板前置法治疗锁骨骨折109例,平均随访时间0.5年,采用Karlsson评分标准评估治疗效果。结果:克氏针内固定组优良率为73.8%,重建钢板上置法优良率为78.9%,重建钢板前置法优良率为93.1%;前两组与后一组相比较,差异有统计学意义(P<0.05),重建钢板前置法优良率最高,并发症最少。结论:对任何类型锁骨骨折,重建钢板前置法疗效最佳,有利于患者早期功能锻炼,是一种可靠疗法,值得推广。Objective： To investigate the effect of fore--lying reconstruction plate on fracture of collar bone. Methods：One hundred and nine patients with fracture of collar bone received Kirschner wire, upper-lying reconstruction plate and fore- lying reconstruction plate treatment, and were followed up for 0.5 year averagely. The curative effect was evaluated by Karlsson assessment system. Results：The excellent rates in Kirschner wire, upper-lying reconstruction plate and fore- lying reconstruction plate groups were 73.8%, 78.9% and 93.1%, respectively. Compared with Kirschner group and upper-lying reconstruction plate group, fore-lying reconstruction plate group bad the highest excellent rate and the least complications （P〈0.05）. Conclusion： The fore-lying reconstruction plate is the most effective method for any type of fracture of collar bone. It is helpful for early physical excise and deserves more wide application.

关 键 词：重建钢板 前置法 锁骨骨折 

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