CAJ | 학술논문

目的：比较克氏针引导复位锁定钢板与非克氏针引导复位锁定钢板治疗锁骨中段粉碎性骨折的效果。方法分析锁定钢板固定70例，其中克氏针引导复位34例，非克氏针引导复位36例。结果平均随访12.3个月，两组愈合时间比较，差异无统计学意义(P >0.05)；两组术后并发症发生率比较，差异无统计学意义(P>0.05)；克氏针引导复位锁定钢板组出血量明显低于非克氏针引导复位锁定钢板组(P<0.05)；克氏针引导复位锁定钢板组手术时间明显少于于非克氏针引导复位锁定钢板组(P<0.05)。结论克氏针引导复位锁定钢板治疗锁骨中段粉碎性骨折能明显缩短手术时间减少出血，复位方法较非克氏针引导复位有明显优势。
목적：비교극씨침인도복위쇄정강판여비극씨침인도복위쇄정강판치료쇄골중단분쇄성골절적효과。방법분석쇄정강판고정70례，기중극씨침인도복위34례，비극씨침인도복위36례。결과평균수방12.3개월，량조유합시간비교，차이무통계학의의(P >0.05)；량조술후병발증발생솔비교，차이무통계학의의(P>0.05)；극씨침인도복위쇄정강판조출혈량명현저우비극씨침인도복위쇄정강판조(P<0.05)；극씨침인도복위쇄정강판조수술시간명현소우우비극씨침인도복위쇄정강판조(P<0.05)。결론극씨침인도복위쇄정강판치료쇄골중단분쇄성골절능명현축단수술시간감소출혈，복위방법교비극씨침인도복위유명현우세。
compare Kirschner guide reset locking plate with non-locking plate Kirschner guide reset middle clavicle fractures effect. [Method] The locking plate fixation in 70 cases, of which 34 cases Kirschner guide reset, reset the 36 cases of non-Kirschner guide. [Result] The average folow-up of 12.3 months, two healing time, the difference was not statisticaly significant (P> 0.05); postoperative complication rate, the difference was not statisticaly significant (P> 0. 05); Kirschner guide reset locking plate group was significantly lower than the amount of bleeding Kirschner guide reset locking plate group (P <0.05); Kirschner guide reset locking plate operative time was significantly less than in non-Klinefelter reset needle guide locking plate group (P <0.05). [Conclusion] Kirschner guide reset the lock plate for treatment of clavicle fractures can significantly shorten the operation time reduce bleeding, compared with non-Kirschner guide Reset Reset method has obvious advantages.