两种内固定方法治疗锁骨骨折的临床疗效分析

摘要

Objective:To compare the use of open reduction and internal fixation with Kirschner wire and open reduction and plate fixation of two internal fixation methods for the treatment of clavicle fracture. Method:196 cases of clavicular fracture were divided into Kirschner wire group and plate group according to random number table method, respectively,underwent open reduction and internal fixation with Kirschner wire and open reduction and internal fixation with steel plate. Result:196 cases were followed up for 6-18 months,the clinical efficacy of two groups after the comparison without statistical significance(P>0.05);the fracture healing of two groups was compared,the difference had statistical significance(P<0.05). Conclusion:The two kinds of internal fixation methods for the treatment of clavicle fracture is a practicable method,each has advantages and disadvantages,Kirschner wire internal fixation with small incision,economic, little injury,quick recovery,but internal fixators loosening caused by malunion of fracture;steel plate internal fixation is stable and reliable,but the high cost,big,incision damage,fracture delayed union,nonunion ratio high.%目的：比较运用切开复位克氏针内固定术和切开复位钢板内固定术治疗锁骨骨折的临床疗效。方法：将196例锁骨骨折患者按随机数字表法分成克氏针组及钢板组，分别接受切开复位克氏针内固定术和切开复位钢板内固定术。比较两组固定效果。结果：196例均获得随访，随访时间6~18个月。两组术后临床疗效比较差异无统计学意义（P>0.05）；两组骨折愈合情况比较差异有统计学意义（P<0.05）。结论：两种内固定方法是治疗锁骨骨折的切实可行的方法，各有优缺点，克氏针内固定具有切口小、损伤小、恢复快等优点，但内固定物易松动致骨折畸形愈合；钢板内固定稳定可靠，但切口大、损伤大、骨折延迟愈合、不愈合比例高。