钢板前置内固定治疗锁骨骨折的疗效  

Clinical outcomes of anterior-inferior plate fixation for midshaft clavicular fractures

作　　者：纪斌[1] 庞金辉[1] 曹成福[1] 周军杰[1] 陈贤奇[1] 潘伟成[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：《上海医学》2012年第11期957-959,F0003,共4页Shanghai Medical Journal

基　　金：上海市重点建设学科项目(T0303);上海市卫生局课题项目(2010164)资助

摘　　要：目的评价钢板前置内固定治疗锁骨中段骨折的临床疗效。方法 2006年9月—2010年8月,采用切开复位钢板前置内固定术治疗53例锁骨中段移位骨折患者,其中Robinson 2A2型27例、2B1型23例、2B2型3例。分别于术后第3、6周和术后第3、6、12、18个月拍摄锁骨X线片观察骨折愈合情况,以Constant标准评价患侧肩关节功能。结果所有患者术后均获随访,平均随访时间为(13.4±2.2)个月。锁骨X线片显示骨折均骨性愈合,平均愈合时间为(3.6±0.7)个月。52例患者行肩关节功能的Constant评分,疗效评价为优34例、良16例、可2例,总体优良率为96.2%(50/52)。结论钢板前置内固定是治疗锁骨中段移位骨折的一种有效方法。Objective To evaluate the clinical outcome of anterior-inferior plate fixation for midshaft clavicular fractures. Methods From September 2006 to August 2010, 53 patients with displaced midshaft clavicular fracture underwent open reduction and anterior-inferior plate fixation. According to the Robinson classification, there were 27 cases of type 2A2, 23 of type 2B1, and 3 of type 2B2. Radiographic assessment was made at 3 and 6 weeks, 3, 6, 12, and 18 months after operation. The Constant shoulder score was used for the outcome analysis of shoulder joint. Results All the patients were followed up for （ 13.4 ± 2.2） months. The average time of radiographic union was （3.6±0.7） months. The shoulder function of 52 patients was assessed by Constant shoulder scores. The excellent and good rate was 96.2% （excellent in 34 patients, good in 16, and fair in 2）. Conclusion Open reduction and anterior-inferior plate fixation is an effective method for treatment of displaced midshaft clavicular fractures.

关 键 词：锁骨 骨折 钢板 内固定术 

分 类 号：R687.3[医药卫生—骨科学]