胸锁钩钢板治疗锁骨近端骨折伴胸锁关节脱位  

Novel sternoclavicular hook-plate for treatment of proximal clavicle fracture with dislocation of sternoclavicular joint

作　　者：蔡国平 徐春丽 邓波 洪华兴 梁军波 林列 CAI Guo-ping;XU Chun-li;DENG Bo;HONG Hua-xing;LIANG Jun-bo;LIN Lie(Department of Traumatic Orthopaedics,Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University,Linhai 317000,Zhejiang,China)

机构地区：[1]温州医科大学附属台州医院创伤骨科,浙江临海317000

出　　处：《中国骨伤》2021年第6期563-567,共5页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨新型胸锁钩钢板治疗锁骨近端骨折伴胸锁关节脱位的临床疗效。方法:回顾性分析2011年6月至2019年1月采用新型胸锁钩钢板进行内固定治疗的13例锁骨近端骨折伴胸锁关节脱位患者的临床资料,其中男9例,女4例;年龄26~78(54.08±13.91)岁。记录患者的手术时间、出血量、住院时间、术后并发症等情况。术后根据X线和CT评估骨折复位以及愈合情况。术后12个月采用Constant-Murley评分和Rockwood胸锁关节评分评定患肢功能恢复情况。结果:13例患者均获得随访,时间12~24(16.77±4.63)个月。切口均Ⅰ期愈合,愈合时间9~13(11.00±1.75)d,骨性愈合时间3~4(3.65±0.46)个月。手术时间50~76(54.08±13.91)min,术中出血量20~56(46.08±11.15)ml,住院时间6~14(8.31±2.32)d。术后未出现感染、内固定失败、神经损伤等并发症。术后12个月Constant-Murley评分为(87.83±11.26)分;Rockwood评分(13.70±1.85)分,其中优11例,良1例,可1例。结论:采用新型胸锁钩钢板治疗锁骨近端骨折伴胸锁关节脱位,可以早期进行关节功能锻炼,患者功能恢复优良,是治疗锁骨近端骨折伴胸锁关节脱位的有效方法。Objective:To explore the efficacy of a novel sternoclavicular hook-plate for treatment of proximal clavicle fracture with dislocation of sternoclavicular joint.Methods:Retrospective analysis of 13 cases of proximal clavicle fracture with dislocation of sternoclavicular joint treated with sternoclavicular hook-plate from June 2011 to January 2019 in our department.There were 9 males and 4 females,aged 26 to 78 years old,with an average age of(54.08±13.91)years old.All the patients had closed injuries without damage of blood vessels and nerves.The patient's operation time,intraoperative blood loss,hospital stay time,and postoperative complications were recorded.Fracture healing and reduction were evaluated according to X-ray and CT after operation.Constant-Murley score and Rockwood sternoclavicular joint score were used to evaluate limb function at 12 months after operation.Results:All the patients were treated with sternoclavicular hook-plate.The operation time ranged from 50 to 76 min,with a mean of(54.08±13.91)min.The intraoperative blood loss ranged from 20 to 56 ml,with a mean of(46.08±11.15)ml.The hospital stay time ranged from 6 to 14 d,with a mean of(8.31±2.32)d.X-ray and CT examination on the second day after operation showed that all fractures and dislocations were anatomically reduced,and shoulder joint function exercise was performed early.All patients were followed up,and the duration ranged from 12 to 24 months,with a mean of(16.77±4.63)months.The healing time ranged from 9 to 13 d,with a mean of(11.00±1.75)d;and the bone healing time ranged from 3 to 4 months,with a mean of(3.65±0.46)months.There were no complications such as infection,internal fixation failure and nerve injury.At 12 months follow-up,the constant Murley score ranged from 78 to 100,with a mean of 87.83±11.26;and Rockwood score ranged from 9 to 15,with a mean of 13.70±1.85.Among them,11 cases were excellent,1 case was good,and 1 case was general.Conclusion:The use of the novel sternoclavicular hook-plate for treatment of proxi

关 键 词：锁骨 胸锁关节 脱位 骨折固定术 内 

分 类 号：R683.41[医药卫生—骨科学]