In The Middle Of Clavicle Fracture Clinical Treatment

Purpose: Comparative open reduction plate fixation and clamp the end ask cyclotron restoration gram needle internal fixation 1/3 mid-clavicular fracture (hengduan, oblique line fracture or bone crest continuous simple the clinical effect of comminuted fracture), must clamp the end ask cyclotron restoration gram needle internal fixation mid-clavicular 1/3 fractures, which in the therapeutic effect of clinical application.Material and method:Proportion of shandong province ZhengGu selected from the WenDeng data hospital trauma reconstructive secco January 2010 in November 2010 outpatient and hospital records patients with fracture of clavicle middle age 70 cases between 18 ~ 65, follow-up time open reduction plate fixation 2 months to 6 months, clamp the end ask cyclotron restoration gram needle fixed within 2 months to 6 months.Result: Results for hengduan, oblique line crest bone fractures and the simple continuous a commimuted fracture, open reduction plate fixation group and clamp the end ask cyclotron restoration gram needle internal fixation group of incision, operation time, peri-operative bleeding and postoperative appearance, fracture healing time, patients compared expense situation by t-test, P < 0.05, explain grips the end ask cyclotron restoration gram needle internal fixation is open reduction of plate fixation group has obvious superiority. Postoperative complications, the function recovery, P > 0.05 X2 test that was not statistically significant.Conclusion: The middle for clavicle fractures of the treatment 1/3, a combination of factors, open reduction plate fixation and clamp the end ask cyclotron restoration gram compared needle fixation has no obvious difference. For hengduan, oblique line crest bone fractures and the simple continuous a commimuted fracture, use clamp the end ask cyclotron restoration gram needle fixation is better; Although there are many clinical also (unstable or serious cases a commimuted fracture) currently used more open reduction reconstruction plate fixation treatment, but fracture healing and delayed union, especially high incidence cross-sectional, oblique line crest bone fractures and the simple continuous a commimuted fracture, the more expanded the operation indications of clavicle fracture, bringing society big waste of medical resources, meanwhile patients also not easy to accept, clamp the end ask cyclotron restoration gram needle fixation worth in the clinical application.