【摘要】 目的探讨锁定加压钢板(LCP)结合自体骨移植治疗锁骨骨折不愈合的疗效。方法自2004年10月至2009年6月应用LCP结合自体骨移植治疗锁骨骨折27例;其中男19例,女8例,平均年龄39.1岁;受伤时间8~14个月,平均9.3个月;锁骨中1/3骨折24例,外1/3骨折3例;萎缩型骨折不愈合25例,肥大型2例;既往非手术治疗18例,手术治疗9例。结果 27例均获得随访,平均随访时间13.5个月(10~21个月)。X线片显示骨折9~15周全部Ⅰ期愈合,平均愈合时间为11.4周,无感染、骨不愈合、内固定断裂等并发症。按照Constant肩关节关节功能评分为90.1分;2例患者因钢板顶压皮肤,骨折愈合18个月后行内固定取出术。结论锁定钢板结合自体骨移植治疗锁骨骨折不愈合是一种理想的治疗方法。更多还原

【Abstract】 Objective To evaluate the treatment result of clavicle fracture non-union with locking compression plating(LCP) and autogenous bone grafting.Methods From October 2004 to June 2009,27 patients with clavicle fracture non-union were treated with LCP osteosynthesis and autogenous bone grafting,including 19 males and 8 females.The average age was 39.1 years.The fractures last 8-14 months before operation with an average 9.3 months.The segements were involved as follows,midshaft 24 cases,lateral-third 3 cases;atrophy non-union 25 cases,hypertrophy non-union 2 cases;non-operative treatment 18 cases,operative treatment 9 cases.Results All patients were followed up for 10 to 21 months,with an average time of 13.5 months.The X-ray pictures showed that one-stage union was achieved in all patients,with a mean healing time of 11.4 weeks.No complications such as infection,non-union,loosening of plate were found.The clinical outcomes were evaluated according to Constant should function scoring average 90.1.Conclusion Locking compression plating and autogenous bone grafting for clavicular non-union is an ideal treatment.更多还原