髓内克氏针临时固定并桥接钢板治疗粉碎性锁骨干骨折  

Treatment of comminuted clavicle shaft fractures with provisional intra-medullary K-wire fixation and bridging plate internal fixation

作　　者：杨明[1] 张殿英[1] 王天兵[1] 付中国[1] 张培训[1] 郭蒙[1] 熊建[1] 姜保国[1] 

机构地区：[1]北京大学人民医院创伤骨科、北京大学交通医学中心,北京100044

出　　处：《北京大学学报（医学版）》2013年第5期815-818,共4页Journal of Peking University:Health Sciences

基　　金：卫生公益性行业科研专项(201002014)资助~~

摘　　要：目的:探讨髓内克氏针临时固定并桥接钢板治疗粉碎性锁骨干骨折的手术方法及疗效。方法:2008年3月至2012年7月间应用切开复位、髓内克氏针临时固定并桥接钢板固定技术治疗锁骨干粉碎性骨折22例,术后对其进行回顾性随访研究,定期复查X线片,观察骨折愈合情况,并用Constant评分评估患者的肩关节功能。结果:经过平均15个月的随访,22例患者骨折均愈合,愈合时间平均为14.6周,Constant评分平均为95.3分。优,13例;良,7例;可,2例;优良率90.9%(20/22)。2例患者因接骨板隆起致局部皮肤感觉不适,而行二次手术取出内固定物。结论:应用髓内克氏针临时固定并桥接钢板技术治疗锁骨干粉碎性骨折,操作简单,愈合率高,可减少并发症的发生。Objective： To discuss the operation effect of comminuted clavicle shaft fractures with provi- sional intramedullary K-wire fixation and bridging plate internal fixation. Methods： From Mar. 2008 to Jul. 2012, 22 cases of comminuted clavicle shaft fractures was treated with open reduction, and provi- sional intramedullary K-wire fixation and bridging plate internal fixation. The fracture healing was investi- gated through X-rays. The 22 cases were followed up to evaluate the function of the affected shoulder with Constant score. Results： Through the follow-up for average 15 months, all the fractures healed and the average healed time was 14.6 weeks. The average Constant score of the affected shoulder was 95.3. There were 13 excellent cases, 7 good cases, and 2 fair cases. The fineness rate was 90.9% （20/22）. Soft tissue problem resulting from plate tilting occurred in 2 cases. At last, they accepted second opera- tion to remove the implant. Conclusion： Applying provisional intramedullary K-wire fixation and bridging plate internal fixation in comminuted clavicle shaft fractures, makes procedure simple, improves healing rate and decreases the complications.

关 键 词：锁骨 骨折固定术 内 骨固定钢丝 治疗结果 

分 类 号：R683.41[医药卫生—骨科学]