钩状钢板与克氏针加张力带钢丝内固定治疗锁骨外1/3骨折的临床疗效比较  

Compare Clinical Curative Effect of Hook Plate and Kirschner Wire and Tension Band Fixation for Treatment of Clavicle Fracture with 1/3

作　　者：陈成军 

机构地区：[1]河南省宜阳县中医院,宜阳471600

出　　处：《光明中医》2012年第9期1768-1769,共2页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的比较采用钩状钢板与克氏针加张力带钢丝内固定治疗锁骨外1/3骨折的临床疗效。方法分析笔者于2006年6月～2010年6月采用钩状钢板治疗68例锁骨外1/3骨折,采用克氏针加张力带钢丝内固定治疗64例锁骨外1/3骨折。结果前者68例患者,随访12～16个月,全部正常愈合。后者64例患者,随访12～16个月,62例患者全部正常愈合,6例患者出现克氏针松动退出,导致固定失败二次手术。结论采用钩状钢板治疗锁骨外1/3骨折固定可靠,成功率高,符合生物力学要求,术后功能恢复快,明显优于克氏针加张力带钢丝固定。Objective To compare the hook plate and Kirschuer wire and tension band fixation for the treatment of clavicle fracture with 1/3 clinical curative eftecto Methods the analysis of the author in 2006 June - 2010 June using a hook plate for treatment of 68 cases of clavicle fracture with 1 / 3, Kirschner wire and tension band fixation for the treatment of 64 cases of clavicle fracture with 1/3. Results the 68 patients, followed up for 12 -16 months, all the normal healing. The latter 64 patients, followed up for 12 -16 months, all 62 patients with normal healing, 6 cases of patients with a Kirschner pin loosening exit, leading to failure of fixation two operation. Conclusion the hook plate fixation for treatment of clavicular outside 1/3 fracture fixation is reliable, high success rate, according to the requirements of the biomechanics, postoperative functional rehabilitation quickly, significantly better than Kirschner wire and tension band fixation.

关 键 词：钩状钢板 锁骨 骨折 骨折内固定 克氏针张力带 

分 类 号：R687.3[医药卫生—骨科学]