CAJ | 학술논문

目的：研究锁骨钩钢板固定术治疗锁骨近端骨折合并胸锁关节脱位的可行性，并探讨其临床疗效及安全性。方法回顾性分析骨外科接受治疗的锁骨近端骨折合并胸锁关节脱位患者，其中，2006年10月之前未采用锁骨钩钢板固定术的患者7例，作为对照组；2006年10月～2013年6月期间采用锁骨钩钢板固定术的患者9例，作为研究组。术后对所有患者进行随访，比较2组患者治疗优良率及术后并发症发生率。结果研究组患者术后优良率为88.89%（8/9），并发症发生率为11.11%（1/9）；对照组术后优良率为42.86%（3/7），并发症发生率为57.14%（4/7）。研究组治疗优良率显著高于对照组(P<0.05)，研究组并发症发生率显著低于对照组(P<0.05)。结论锁骨钩钢板固定术治疗锁骨近端骨折并胸锁关节脱位取得了较好的治疗效果，其能允许胸锁关节有微小的活动度，不仅保护了肩关节功能的正常，而且能够避免因反复活动造成的内固定物松动、断裂和稳定性差等并发症，手术安全性高，并且满足了患者术后美观的要求，因此，此方法值得在临床上广泛开展应用。
목적：연구쇄골구강판고정술치료쇄골근단골절합병흉쇄관절탈위적가행성，병탐토기림상료효급안전성。방법회고성분석골외과접수치료적쇄골근단골절합병흉쇄관절탈위환자，기중，2006년10월지전미채용쇄골구강판고정술적환자7례，작위대조조；2006년10월～2013년6월기간채용쇄골구강판고정술적환자9례，작위연구조。술후대소유환자진행수방，비교2조환자치료우량솔급술후병발증발생솔。결과연구조환자술후우량솔위88.89%（8/9），병발증발생솔위11.11%（1/9）；대조조술후우량솔위42.86%（3/7），병발증발생솔위57.14%（4/7）。연구조치료우량솔현저고우대조조(P<0.05)，연구조병발증발생솔현저저우대조조(P<0.05)。결론쇄골구강판고정술치료쇄골근단골절병흉쇄관절탈위취득료교호적치료효과，기능윤허흉쇄관절유미소적활동도，불부보호료견관절공능적정상，이차능구피면인반복활동조성적내고정물송동、단렬화은정성차등병발증，수술안전성고，병차만족료환자술후미관적요구，인차，차방법치득재림상상엄범개전응용。
Objective Feasibility study clavicular hook plate ifxation of proximal clavicle fracture combined sternoclavicular joint dislocation, and its clinical efifcacy and safety.Methods Retrospective analysis of bone surgery Yangjiang Third People's Hospital for treatment of proximal clavicle fracture combined with dislocation of sternoclavicular patients, which, in 2006 October before using clavicular hook plate fixation in 7 patients, as control group; in 2006 October-2013 June period using lock bone hook plate fixation in 9 patients, as the study group. Of all the patients were followed up after treatment in 2 groups were compared, the excellent and good rate and postoperative complication rate.Results The study group patients were excellent 88.89% (8/9), the complication rate was 11.11% (1/9); the control group was 42.86% after excellent (3/7), the incidence of complications 57.14% (4/7). Research excellent rate of treatment group was signiifcantly higher than the study group the incidence of complications was signiifcantly lower than the control group (P<0.05).Conclusion Auricular hook plate ifxation of proximate fractures of clavicle and sternoclavicular joint dislocation and achieved better therapeutic effect, which can allow the sternoclavicular joint has a slight activity, not only to protect the normal shoulder function, and can avoid repeating events caused by internal ifxation loosening, fracture and poor stability of complications, surgery is safe and meets the requirements of postoperative appearance, therefore, this method is worthy of clinical extensive application.