体外钢板固定治疗锁骨中段骨折(附31例报告)  

External plates fixation for the treatment of clavicular middle-third fractures

作　　者：王诗波[1] 骆宇春[1] 许斌[1] 刘云鹏[1] 张焱[1] 樊嵘[1] 华国军[1] 

机构地区：[1]解放军第101医院骨科二区,无锡214044

出　　处：《中国矫形外科杂志》2012年第2期125-127,共3页Orthopedic Journal of China

基　　金：南京军区医学科研重点课题(编号:08Z004)

摘　　要：[目的]探讨自行研制的体外钢板治疗锁骨中段骨折的疗效。[方法]2007年6月～2011年1月,对31例锁骨中段骨折患者采用锁骨体外钢板固定治疗。受伤至手术时间为2～6 d,平均3.5 d。根据Edward对锁骨骨折愈合的评价指标制定疗效判断标准。[结果]本组病例经9～25个月,平均16个月的随访,骨折均获骨性愈合。按上述标准评定:优24例,良5例,中2例。[结论]体外钢板固定治疗锁骨中段骨折具有固定可靠,创伤小,无需二期手术取出内固定等优点,有望成为治疗锁骨骨折一种较为理想的术式。[ Objective]To summarize the results of clavicular middle-third fractures fixed by self-made external plates. [ Method ] Thirty-one patients with clavicular middle-third fractures were treated with external plates fixation from June ,2007 to January,2011. The duration from injury to operation varied from 2 - 6 days （ average ,3.5 days）. The results were evaluated by standards which was made according to the key points of healing of clavicular fracture of Edward. [ Result] All patients were fol- lowed up. The follow-up time was 16 （9 ~ 25 ） months. All fractures were healed. According to the Edward criteria,24 patients regained an excellent clinical resuh,5 good,2 fair,0 poor. [ Conclusion] External fixation for the clavicular middle-third frac- tures is believed to be a better method because of its advantages such as stable fixation,less-invasive and no need to remove the implants.

关 键 词：锁骨骨折 体外钢板 外固定 

分 类 号：R687.3[医药卫生—骨科学]