微创Herbert螺钉固定治疗成人锁骨中段骨折

微创Herbert螺钉固定治疗成人锁骨中段骨折

黄智慧,丁亮华,何双华,凌为其,张乃东

苏州大学附属第三医院

收稿日期:2011-10-31 修回日期:2012-03-12 出版日期:2012-09-15 发布日期:2012-09-15
通讯作者: 黄智慧

Minimal Invasive Fixation for Treatment Of Adults' Midshaft Clavicle Fracture With Herbert Screw

Received:2011-10-31 Revised:2012-03-12 Published:2012-09-15 Online:2012-09-15
Contact: Zhi-Hui HUANG

黄智慧,丁亮华,何双华,凌为其,张乃东. 微创Herbert螺钉固定治疗成人锁骨中段骨折[J]. .

摘要/Abstract

摘要： [目的] 探讨空心Herbert螺钉治疗成人锁骨中段骨折的手术技术和治疗效果。 [方法] 2009年9月至2010年12月，苏州大学附属第三医院骨三科采用微创Herbert螺钉髓内固定治疗27例青壮年锁骨中段骨折；其中男20例，女7例，平均年龄34.8岁。手术切口平均长度2.0cm。[结果] 27例患者均获随访，平均随访时间14.7月（10-18月），骨折均一期愈合，临床愈合时间平均11.3周。无骨折延迟愈合和不愈合，无螺钉断裂及伤口感染。至末次随访，UCLA（University of California at Los Angeles）评分平均为34.3分。[结论] 空心Herbert螺钉微创固定治疗锁骨中段骨折具有操作简单、固定牢靠和更大程度保留骨折端血液供应的优点，并且更小的手术疤痕对患者的美观影响较小。对于青壮年和对美观要求较高的患者，空心Herbert螺钉微创固定可以作为更好的选择。

关键词: 锁骨骨折, 髓内固定, Herbert螺钉

Abstract: [Objective] To discuss the operation techniques and therapy effects in treating adult mid-shaft fractures of clavicle with cannulated Herbert screws. [Methods] Between 2009.9 and 2010.12, twenty seven patients with mid-shaft clavicle fractures were recruited from the Third affiliated Hospital of Suzhou University, Changzhou. The twenty seven patients were made up of 20 men and 7 women with an average age of 34.8 years. Mid-shaft fractures were fixed by cannulated Herbert screws through minimal invasive incision. The mean length of incision was 2.0cm. [Results] All 27 patients were followed up for 14.7 months (range10 to 18 months).All fractures of this group achieved bone union at average 11.3 weeks） postoperatively. No severe complications, such as incision infections and neurovascular injuries, occurred in this group. No delayed union, nonunion and Screw breakage were found in follow-up. The mean UCLA score was 34.3 at the end time of follow-up. [Conclusion] This study showed that midshaft clavicle fracture fixed with cannulated Herbert screw minimal invasively obtained good immobilization, excellent bone union and less complications. Moreover, it has advantages of simple operation techniques and protect blood supply. It may be a better choice to treat midshaft clavicle fracture for young adults and women who love beauty.

Key words: Clavicle Fracture, Intramedullary Fixation, Herbert Screw