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重建钢板联合可吸收线治疗粉碎性锁骨骨折的疗效分析
卢显威,蒋守念,方 钢,黄绍东
530100 广西,武鸣县人民医院骨科
摘要:
[摘要] 目的 总结重建钢板联合可吸收线治疗粉碎性锁骨骨折的临床疗效。方法 回顾性分析采用重建钢板联合可吸收线缝扎固定治疗的124例粉碎性锁骨骨折的临床疗效。结果 骨折疗效评价:优107例,良12例,可3例,差2例,优良率为96.0%。2例术后伤口感染,经抗感染、清创后伤口愈合。2例螺钉松脱,骨折再移位,再次手术加强固定后骨折延迟愈合。结论 采用重建钢板联合可吸收线治疗粉碎性锁骨骨折疗效好,具有骨膜及软组织剥离少,易复位固定,创伤小等优点。
关键词:  锁骨骨折  重建钢板  可吸收线
DOI:10.3969/j.issn.1674-3806.2015.06.21
分类号:R 683.41
基金项目:
Clinical analysis of reconstruction plate combined with absorbable suture in the treatment of comminuted clavicular fracture
LU Xian-wei, JIANG Shou-nian, FANG Gang, et al.
Department of Orthopedics, Wuming County People′s Hospital, Guangxi 530100, China
Abstract:
[Abstract] Objective To explore the clinical efficacy of reconstruction plate combined with absorbable suture in the treatment of comminuted clavicular fracture.Methods A retrospective study was performed on 124 patients with comminuted clavicular fracture by using reconstrution plate combined with absorbable suture.Results The clinical efficacy was excellent in 107 cases, good in 12 cases, fair in 3 cases and poor in 2 cases, with the excellent-good rate being 96.0%. 2 cases suffered from postoperative wound infection. After the treatment of anti-infection and exhaustive debridement, the wounds healed. The screws had come loose in 2 cases, and the fracture was displaced. After reoperation to strengthen fixation, the fracture delayed healing.Conclusion There are advantages in reconstruction plate combined with absorbable suture in the treatment of comminuted clavicular fracture: less periosteum and soft tissue dissection, easier to be replaced and fixed and minimal invasive.
Key words:  Comminuted clavicular fracture  Reconstruction plate  Absorbable suture