桥接系统治疗成人锁骨中段骨折  

Clinical application of bridge link combined fixation system for adult mid shaft clavicle fractures

作　　者：牛锋[1,2] 马勇[1] 田涛[2] 周建中[2] NIU Feng;MA Yong;TIAN Tao;ZHOU Jian-zhong(Department of Orthopaedics,Nanjing University of Traditional Chinese Medicine,Nanjing 210023,Jiangsu,China)

机构地区：[1]南京中医药大学,江苏南京210023 [2]南京中医药大学扬州附属医院骨伤科,江苏扬州225000

出　　处：《中国骨伤》2019年第1期38-42,共5页China Journal of Orthopaedics and Traumatology

基　　金：国家卫生和计划生育委员会医药卫生科技发展研究中心课题(编号:W2015QJ056)~~

摘　　要：目的:探讨桥接系统治疗成人锁骨中段骨折的临床疗效。方法:自2016年1月至2016年8月采用切开复位桥接系统内固定治疗28例成人锁骨中段骨折患者,其中男15例,女13例;年龄27～82(48.50±15.34)岁;病程13～15(14.17±0.77)个月。记录患者的骨折愈合时间及并发症情况,并于术前,术后1、3、13个月采用肩关节Constant评分进行疗效评价。结果:28例患者骨折均达到临床愈合标准,愈合时间2.5～4.0(3.05±0.44)个月。术后未出现感染、骨不连、延迟愈合、内固定物断裂及内固定取出后再骨折病例。28例患者获得随访,时间13～15个月(14.17±0.77)个月。术后1、3、13个月患侧肩关节Constant评分分别为76.57±4.70、90.75±3.62、96.07±2.40,与术前58.36±4.98比较差异有统计学意义(P<0.05)。结论:桥接系统可以作为治疗成人锁骨中段骨折的一种新型内固定方式,具有恢复快、并发症少的特点,可以降低内固定物断裂、应力下骨质疏松、内固定取出后再骨折的风险。Objective:To explore clinical efficacy of bridge-link combined fixation system for adult mid-shaft clavicle fractures.Methods:From January 2016 to August 2016,28 patients with mid-shaft clavicle fractures were treated by bridge-link combined fixation system,including 15 males and 13 females,aged from 27 to 82 years old with an average of(48.50±15.34)years old;the courses of disease was for 13 to 15 months with an average of(14.17±0.77)months.Fracture healing time and complication were observed,postoperative and postoperative Constant function score of shoulder joint at 1,3 and 13 months and were compared.Results:All patients were followed up for 13 to 15 months with an average of(14.17±0.77)months.Twenty-eight patients achieved clinical fracture healing without infection,bone un-union,delayed union,breakage of internal fixation and re-fracture after removing of the internal fixation occurred.Fracture healing time ranged from 2.5 to 4 months with(3.05±0.44)months.Postoperative Constant score at 1,3 and 13 months were 76.57±4.70,90.75±3.62,96.07±2.40 respectively,and had significant difference compared with before operation(58.36±4.98).Conclusion:Bridge-link combined fixation system could be used as a new internal fixation for adult mid-shaft clavicle fractures,which has advantages of rapid recovery,less complications,and could reduce incidence of breakage of internal fixation,osteoporosis,re-fractures after removing the internal fixation.

关 键 词：锁骨 骨折 骨折固定术 骨折切开复位 

分 类 号：R683.41[医药卫生—骨科学]