摘要
目的 研究锁骨不愈合的临床特点,评价钢板内固定的治疗效果。方法 回顾性分析采用AO重建钢板治疗的16例锁骨不愈合的临床资料。结果 16例患者X线观患侧较健侧短缩0.8-2.8cm(短缩大于或等于1.5cm者有11例),手术用AO重建钢板内固定,锁骨短缩大于或等于1.5cm者骨折端间嵌自体骨植骨。本组14例随访3-12个月,平均8.6个月,骨折全部愈合。结论 锁骨骨折短缩明显者,发生锁骨疼痛性不愈合几率较高;AO重建钢板可有效治疗锁骨骨折不愈合。
Objective To study on the behaviors of nonunion of the clavicle,and evaluate the therapeutic efficacy of the fixation with a reconstruction plate.Methods Retrospective analysis was done on 16 patients who had nonunion of the clavicle and were achieved by fixation with a reconstruction plate later.Results On X-ray, all 16 patients had shortening which rang from 0.8 to 2.8cm in the nonunion clavicle than in the contralateral clavicle (shortening more than 1.5cm or equal 1.5cm on 11 patients). 16 cases were fixated by AO reconstruction plate.When shortening of the clavicle isn't less than 1.5cm,an autogenous bone graft was advocated between the end of clavicle fracture.Each of 14 patients obtained union ,the follow time was from 3 to 12 months,average 8.6 months.Conclusion Painful nonunion of the clavicle usually occur to the clavicle in which shortening is made sure.AO reconstruction plate is effective in the treatment to nonunion of the clavicle.
出处
《宁夏医学杂志》
CAS
2005年第4期245-246,共2页
Ningxia Medical Journal
关键词
锁骨骨折
骨不连
锁骨短缩畸形
重建钢板
Clavicle fracture
Nonunion
Shortening of the clavicle
Reconstruction plate
