钩状钢板与克氏针加张力带钢丝内固定治疗锁骨外1/3骨折的临床疗效比较

目的比较采用钩状钢板与克氏针加张力带钢丝内固定治疗锁骨外1/3骨折的临床疗效。方法分析笔者于2006年6月～2010年6月采用钩状钢板治疗68例锁骨外1/3骨折,采用克氏针加张力带钢丝内固定治疗64例锁骨外1/3骨折。结果前者68例患者,随访12～16个月,全部正常愈合。后者64例患者,随访12～16个月,62例患者全部正常愈合,6例患者出现克氏针松动退出,导致固定失败二次手术。结论采用钩状钢板治疗锁骨外1/3骨折固定可靠,成功率高,符合生物力学要求,术后功能恢复快,明显优于克氏针加张力带钢丝固定。

Compare Clinical Curative Effect of Hook Plate and Kirschner Wire and Tension Band Fixation for Treatment of Clavicle Fracture with 1/3

Objective To compare the hook plate and Kirschner wire and tension band fixation for the treatment of clavicle fracture with 1/3 clinical curative effect.Methods the analysis of the author in 2006 June ~ 2010 June using a hook plate for treatment of 68 cases of clavicle fracture with 1 /3,Kirschner wire and tension band fixation for the treatment of 64 cases of clavicle fracture with 1/3.Results the 68 patients,followed up for 12~16 months,all the normal healing.The latter 64 patients,followed up for 12~16 months,all 62 patients with normal healing,6 cases of patients with a Kirschner pin loosening exit,leading to failure of fixation two operation.Conclusion the hook plate fixation for treatment of clavicular outside 1/3 fracture fixation is reliable,high success rate,according to the requirements of the biomechanics,postoperative functional rehabilitation quickly,significantly better than Kirschner wire and tension band fixation.