CAJ | 학술논문

目的探讨重建钢板治疗儿童锁骨骨折的临床疗效.方法回顾分析本院2004年3月至2011年5月采取切开复位重建钢板内固定治疗儿童锁骨骨折23例的临床资料.结果 23例患儿随访时间24～28个月,中位时间25个月.上肢功能恢复良好,根据疗效评定标准:优18例,良3例,可2例,差0例.无感染、钢板松动、断裂、再骨折、肩锁关节骨性关节炎等并发症.复查X线示所有骨折均获得解剖复位,无骨折不愈合及畸形愈合等.结论重建钢板治疗儿童锁骨骨临床效果良好,有利于早期功能锻炼及肢体功能恢复.
목적 탐토중건강판치료인동쇄골골절적림상료효.방법 회고분석본원2004년3월지2011년5월채취절개복위중건강판내고정치료인동쇄골골절23례적림상자료.결과 23례환인수방시간24～28개월,중위시간25개월.상지공능회복량호,근거료효평정표준:우18례,량3례,가2례,차0례.무감염、강판송동、단렬、재골절、견쇄관절골성관절염등병발증.복사X선시소유골절균획득해부복위,무골절불유합급기형유합등.결론 중건강판치료인동쇄골골림상효과량호,유리우조기공능단련급지체공능회복.
Objective To inrestignate the efficacy of open reduction for plate reconstruction in children with clavicular fracture.Methods Clinical data of undergoing 23 children with clavicular fracture undergoing open reduction for plate reconstruction in our hospital between March 2004 and May 2011 were analyzed retrospectively.Results All the patients were followed up for a median of 25 (24 to 28) months and had a satisfactory recovery of the activity of upper extremities,as evidenced by 18 cases with excellent efficacy,3 with ideal efficacy,2 with acceptable efficacy and nil with poor outcomes.No postoperative complications,including infection,loosened or fracture of the steel plate,relapse of bone fracture,osteoarthritis of the acromioclavicular joint,were reported.X-ray reassessment suggested that anatomical reduction was achieved in all the cases.Neither failure of healing nor malformation was documented.Conclusion Open reduction for plate reconstruction is effective for the treatment of clavicular fractures and may facilitate early-stage exercising and recovery of extremities in children.