【摘要】 目的 探讨应用解剖钢板经皮微创内固定治疗锁骨中段骨折的手术方法和临床疗效。方法 自2006年3月至2008年4月对40例锁骨中段骨折行平行于langer线小切口应用解剖钢板微创内固定治疗。结果 40例得到6~24个月随访。38例对切口愈合瘢痕比较满意,满意率为95%;骨折均骨性愈合,按孙新宏等^[1]疗效评价,结果为:优36例,良3例,差1例,优良率达97.5%。结论 适应证掌握适当,应用解剖钢板微创经皮内固定治疗锁骨中段骨折,方法可行,疗效满意。

    【关键词】 锁骨骨折;钢板;微创;内固定

    Minimally invasive percutaneous fixation of Mid-clavicle fractures using anatomy plates

    YANG Chun-lei,LUGuang-sheng,WANG Yan-qun,et al.Department of Orthopedics,the People’s Hospital of Zaozhuang,Shandong 277101,China

    【Abstract】 Objective To explore the surgical skills and clinical results of minimally invasive percutaneous fixation of mid-clavicular fractures using anatomy plates.Methods From March 2006 to April 2008,forty cases of mid-clavicular fractures were operated with minimally invasive fixation skills using anatomy plates with a minimal incision parallel to the langer’s line.Results All of the forty cases were followed up.The follow up period was 6 to 24 months.According to the Sun’s^[1] function evaluation standards,36 cases as excellent,3 cases as fine and one case as poor,the fine rate was 97.5%.38 cases of the group were satisfied with the incision scar,the satisfaction rate was 95%.all of the fracture cases were well healed.Conclusion With the surgical indications properly harnessed,the methods of minimally invasive percutaneous fixation of mid-clavicular fractures using anatomy plates are feasible and the clinical results are satisfactory. ......