锁骨骨折的临床治疗分析

目的 探讨不同方法 治疗锁骨骨折的疗效.方法 通过对89例患者进行一系列严格临床检查来确定诊断,设计治疗方法 .结果 临床疗效优48例(54%),良25例(28%),可11例(12%),差5例(6%).优良率为94%.结论 锁骨骨折的治疗以手术切开复位内固定优于传统8字绷带外固定的手法复位.重建钢板、锁骨钩钢板是行之有效的方法 ,其固定坚强,可早期活动肩关节,关节功能恢复快,疗效满意.

Clinical analysis of the treatment of clavicular fractures

Objective To investigate the effect through clinical practice on the treatment of clavicular fractures.Methods 89 patients with a aeries of strict clinical examination were provided to determine the diagnosis,treatment design.Results After anatomic reduction,if the end of fracture became stability,joint pain disappeared even with oppression and the activities of the shoulder became normal,the healing effect is excellent.There were 48 cases of this kind and it was 54%of the whole;after anatomic reduction,if the end of fracture becatne stability,surrounding local joint pain disappeared with oppression and the activities of the shoulder nearly became normal,the healing effect belongs to the good.There were 25 cascs of this kind and it was 28% of the whole;if patients only achieved a reduetion of 1/2,they would suffer various degrees of pain after lifting heavy objects or moving and their joint activities would be restricted.The healing effect is also OK and there were 11 cases of this kind and it Wsa 12% of the whole;besides,poor treatment outcome for five cases,accounting for 6%.Excellent rate is 94% altogether.Conclusion The treatment of clavicular fractures to open reduction and internsl surgery is better than the traditional solid eight characrers bandage external fixation approach reduction.The use of reconstruction plate and collarbone hook plate is a well-established method of selection,by which bones can be fixed solidly and patients can move their shoulders earlier.What's more,joint function can restore quickly,the results are satisfactory.