锁骨骨折内固定术的必要性和疗效分析

目的总结和分析内固定治疗锁骨骨折的效果。方法对63例锁骨骨折行克氏针钢丝内固定、重建钢板或锁骨解剖钢板内固定术。应用克氏针钢丝内固定29例,重建钢板28例,锁骨解剖钢板5例。结果术后随访12~24个月,平均13个月。按初步骨折愈合评定标准,优37例,良23例,差3例。优良率95.24%,与非手术组59例对比,优于非手术治疗。结论锁骨骨折内固定术是必要的,且疗效肯定,术者应根据患者情况选择合适的适应证和内固定方式。

The Analysis of Necessity and Efficacy of Internal Fixation for Clavicular Fracture

Objective To investigate the necessity of surgical methods for clavicle fracture and analyze the clinical efficacy of internal fixation. Methods 63 patients with fracture in middle and distal part of clavicle were treated with surgical operation. Thirty fractures from 63 patients were fixed with kirschner's wire. Twenty-eight were treated with reconstructive plate and five with anatomical bone plate. Results All the cases were followed up 12～24 months(means,13months). According to the initial fracture healing standard, 37 cases assessed as excellent, 23 good, 3 poor. The percentage of excellent and good results were 95.24%.The efficacy of internal fixation group(63 cases) was superior to external fixation group(59 cases). Conclusion The internal fixation of clavicular fracture is necessary and the clinical efficacy of internal fixation is excellent. The internal fixation methods of clavicular fracture should be selected according to individual condition.