不同内固定方式治疗Robinson 2A、2B型锁骨中段骨折临床疗效分析  

Analysis on clinical effect of different kinds of internal fixation mode in treating Robinson type 2A and 2B midshaft clavicle fracture

作　　者：鲁成[1] 王恒 仲文军 陈家麟[1] 项征[1] 刘磊[1] 杨劲松[1] 薛天乐[1] 

机构地区：[1]安徽省滁州市第一人民医院骨三科,239000

出　　处：《重庆医学》2018年第1期46-48,共3页Chongqing medicine

基　　金：安徽省卫生和计划生育委员会科研计划项目(2016QK037)

摘　　要：目的探讨克氏针、重建接骨板及锁定加压接骨板内固定方式治疗Robinson2A、2B型锁骨中段骨折临床疗效。方法选取2006年8月至2015年8月该院收治的150例锁骨中段骨折患者,分为A、B、C组,A组采用克氏针内固定治疗,B组采用重建接骨板内固定治疗,C组采用锁定加压接骨板内固定治疗。比较3组患者切口长度、手术用时、术中出血量、骨折愈合时间、术后Constant-Murley评分、DASH评分及术后并发症发生率等。结果 A、C组患者切口长度、手术时间及术中出血量均显著优于B组(P<0.05),C组患者骨折愈合时间、术后活动度、肌力及日常生活评分、并发症发生率、术后DASH评分均显著优于A、B组(P<0.05)。结论锁定加压接骨板治疗Robinson 2A、2B型锁骨中段骨折可有效减少手术创伤,缩短骨折愈合时间,减少术后并发症。Objective To investigate the clinical efficacy of Kirschner wire, reconstruction plate and locking compression plate internal fixation in the treatment of Robinson type 2A and 2]3 midshaft clavicle fracture. Methods One hundred and fifty patients with midshaft clavicle fracture in the hospital from August 2006 to August 2015 were selected and divided into the group A, B and C. The group A adopted Kirschner wire,group B adopted the reconstruction plate and group C adopted the locking compression plate internal fixation. Then the incision length, operative time, intraoperative blood loss, fracture healing time, postoperative Constant-Murley scores and DASH scores and postoperative complications incidence rate were compared among the three groups. Results The incision length,operative time and intraoperative blood loss in the group A and C were significantly better than those in the group B（P〈0.05）. The fracture healing time, postoperative activity, muscle strength and daily life score, postoperative complications incidence rate,postoperative DASH score in the group C were significantly better than those in the group A and B（P〈0.05）. Conclusion The locking compression plate in the treatment of Robinson type 2A and 2B midshaft clavicle fracture can effectively reduce the surgical trauma,shortens the fracture healing time and decreases the postoperative complications.

关 键 词：内固定器 锁骨骨折 克氏针 重建接骨板 锁定加压接骨板 

分 类 号：R683.1[医药卫生—骨科学]