锁骨外侧钢板倒置非跨关节固定锁骨内侧骨折的诊疗分析
Diagnosis and treatment of medial clavicular fracture with lateral clavicular plate inversion without transarticular fixation
石强 1李祥祥 1李传丰 1赵坤1
作者信息
- 1. 272100 山东省,济宁市兖州区人民医院创伤骨科
- 折叠
摘要
目的 探讨应用锁骨外侧钢板,不跨关节固定锁骨内侧骨折的诊疗疗效.方法 回顾分析2019 年 2 月至 2022 年 10 月我院收治的 8 例锁骨内侧骨折患者的临床资料,采用锁骨外侧钢板倒置、不跨关节固定于锁骨内侧,术后应用 Constant-Murley 评分对患者治疗后的肩关节功能及疼痛进行评价.结果 8 例患者术后均无切口感染,均达到骨折复位及骨折愈合,平均愈合时间为术后 9.5 周,术后患者均无胸锁关节慢性疼痛,Constant-Murley 评分为平均 88 分.结论 对于不稳定的锁骨内侧骨折,若至少存在一块有效骨块面积超过 2 cm,则可采用锁骨外侧钢板倒置、不跨关节固定锁骨,并可以取得较为满意的治疗效果.
Abstract
Objective To investigate the diagnosis and treatment of medial clavicle fracture by lateral clavicle plate without transarticular fixation.Methods A retrospective analysis of 8 patients with medial clavicle fractures admitted to the Third People's Hospital of Jining from February 2019 to August 2021 was performed using an inverted lateral clavicle plate without transarticular fixation to the medial clavicle,and the Constant-Murley score was applied postoperatively to evaluate the shoulder function and pain of the patients after treatment.Results None of the 8 patients had postoperative incision infection,and all achieved fracture reduction and fracture healing,with an average healing time of 3 months.None had postoperative chronic sternoclavicular joint pain,with an average Constant-Murley score of 88.Conclusions For unstable medial clavicle fractures,lateral clavicle plate inversion can be used without transarticular fixation of the clavicle if there is at least one effective bone block with an area of more than 2 cm.Satisfactory therapeutic results will be obtained.
关键词
骨折/锁骨/骨折固定术,内Key words
Fractures,bone/Clavicle/Fracture fixation,internal引用本文复制引用
出版年
2024
NETL
NSTL
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