CAJ | 학술논문

目的：总结重建钢板联合可吸收线治疗粉碎性锁骨骨折的临床疗效。方法回顾性分析采用重建钢板联合可吸收线缝扎固定治疗的124例粉碎性锁骨骨折的临床疗效。结果骨折疗效评价：优107例，良12例，可3例，差2例，优良率为96.0％。2例术后伤口感染，经抗感染、清创后伤口愈合。2例螺钉松脱，骨折再移位，再次手术加强固定后骨折延迟愈合。结论采用重建钢板联合可吸收线治疗粉碎性锁骨骨折疗效好，具有骨膜及软组织剥离少，易复位固定，创伤小等优点。
목적：총결중건강판연합가흡수선치료분쇄성쇄골골절적림상료효。방법회고성분석채용중건강판연합가흡수선봉찰고정치료적124례분쇄성쇄골골절적림상료효。결과골절료효평개：우107례，량12례，가3례，차2례，우량솔위96.0％。2례술후상구감염，경항감염、청창후상구유합。2례라정송탈，골절재이위，재차수술가강고정후골절연지유합。결론채용중건강판연합가흡수선치료분쇄성쇄골골절료효호，구유골막급연조직박리소，역복위고정，창상소등우점。
Objective To explore the clinical efficacy of reconstruction plate combined with absorbable su-ture in the treatment of comminuted clavicular fracture.Methods A retrospective study was performed on 124 pa-tients with comminuted clavicular fracture by using reconstrution plate combined with absorbable suture.Results The clinical efficacy was excellent in 107 cases, good in 12 cases, fair in 3 cases and poor in 2 cases, with the excellent-good rate being 96.0%.2 cases suffered from postoperative wound infection.After the treatment of anti-infection and exhaustive debridement, the wounds healed.The screws had come loose in 2 cases, and the fracture was displaced. After reoperation to strengthen fixation, the fracture delayed healing.Conclusion There are advantages in recon-struction plate combined with absorbable suture in the treatment of comminuted clavicular fracture: less periosteum and soft tissue dissection, easier to be replaced and fixed and minimal invasive.