[1]张细祥,郭颖彬△,陈志明,等.顺势复位技术微创治疗锁骨中段骨折69例[J].中国中医骨伤科杂志,2025,33(12):81-84.[doi:10.20085/j.cnki.issn1005-0205.251214]
　ZHANG Xixiang,GUO Yingbin,CHEN Zhiming,et al.69 Cases of Minimally Invasive Treatment of Midshaft Clavicular Fracture by Homeopathic Reduction[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(12):81-84.[doi:10.20085/j.cnki.issn1005-0205.251214]
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顺势复位技术微创治疗锁骨中段骨折69例()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年12期
页码:
81-84
栏目:
临床报道
出版日期:
2025-12-15

文章信息/Info

Title:
69 Cases of Minimally Invasive Treatment of Midshaft Clavicular Fracture by Homeopathic Reduction
文章编号:
1005-0205(2025)12-0081-04
作者:
张细祥1; 郭颖彬1△; 陈志明1; 吕毅1
1泉州市正骨医院(福建 泉州,362000)
Author(s):
ZHANG Xixiang1; GUO Yingbin1△; CHEN Zhiming1; LÜ Yi1
1Quanzhou Orthopedic-Traumatological Hospital,Quanzhou 362000,Fujian China.
关键词:
锁骨;  骨折;  微创性;  骨折固定术;  顺势复位
Keywords:
clavicle;  fractures;  minimally invasive;  fracture fixation surgery;  homeopathic reduction
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.251214
文献标志码:
B
摘要:
目的:探讨应用顺势复位技术微创穿针治疗锁骨中段骨折伴竖立骨折块的临床疗效。方法:回顾性分析2023年12月至2024年12月采用顺势复位技术微创穿针治疗69例锁骨中段骨折伴竖立骨折块患者资料,男43例,女26例,年龄为18～65岁(平均42.2岁)。按AO/OTA分型:15.2B型53例,15.2C型16例。交通事故伤45例,跌伤24例。其中1例合并脑挫裂伤,1例合并足部骨折,5例合并肩胛骨骨折,21例合并多发肋骨骨折,同时伴胸腔积液6例。均应用锁骨钳顺势牵引复位结合微创穿针内固定治疗,其中2例锁骨骨折的竖立骨折块位于锁骨后下方无法复位,改行小切口协助复位内固定术。记录手术时间、骨折复位质量、是否切开复位等数据。随访拍摄患者锁骨正、轴位X线片,记录骨折愈合时间; 末次随访时采用Constant-Murley肩关节评分评估肩关节功能。结果:69例患者获得6～17个月随访(平均10.1个月),其中近解剖复位55例,功能复位14例。根据Constant-Murley肩关节功能评分,优64例,良5例,可0例。结论:顺势复位技术微创穿针治疗伴竖立骨折块的锁骨中段骨折,操作简便、安全,骨折复位质量好,骨折愈合快,术后并发症少,值得临床推广应用。
Abstract:
Objective:To evaluate the clinical efficacy of minimally invasive pinning treatment of midshaft clavicle fractures with vertical fracture fragments by homeopathic reduction.Methods:69 patients with midshaft clavicular fractures were treated by homeopathic reduction and minimally invasive needle surgery from December 2023 to December 2024.They were 43 males and 26 females,aged from 18 to 65 years old(average 42.2 years old).According to the AO/OTA classification,53 cases were of type 15.2B and 16 cases were of type 15.2C.There were 45 cases of traffic accident injuries and 24 cases of falls.Among them,1 case was combined with cerebral contusion and laceration,1 case with foot fracture,5 cases with scapular fracture,21 cases with multiple rib fractures,and 6 cases were accompanied by pleural effusion at the same time.All cases were treated with the method of homeopathic reduction combined with minimally invasive needle internal fixation.Among them,there were 2 cases of vertical fracture segments of the clavicle located posteriorly below the clavicle and unable to be reduced.The operation time,the quality of fracture reduction,whether open reduction is performed or not,and other data were recorded.The anteroposterior and axial X-ray films of the clavicle were taken and fracture healing time was recorded during follow-up.The function of shoulder joint was evaluated by Constant-Murley scoring system at the last follow-up.Results:The follow-up time for 69 patients ranged from 6 to 17 months(average 10.1 months).Among them,55 cases achieved near-anatomical reduction and 14 cases achieved functional reduction.The Constant-Murley scores at the last follow-up showed that 64 cases were excellent,5 cases as were good and 0 case was fair.Conclusion:Minimally invasive threading by homeopathic reduction for the treatment of midsection clavicle fractures accompanied by upright fracture fragments has the characteristics of simple operation,safety,good fracture reduction quality,rapid fracture healing,and few postoperative complications.It is worthy of clinical recommendation.

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(收稿日期:2025-06-25)

备注/Memo

备注/Memo:
△通信作者 E-mail:leoguo9@sina.com
更新日期/Last Update: 2025-12-15