Clavicular fracture fixation with open reduction and Kirschner wire Application Experience.docVIP

 PAGE \* MERGEFORMAT 5 Clavicular fracture fixation with open reduction and Kirschner wire Application Experience Study: Call Tito Hella mention, Yu Jianhua, Liu Tiejun [Keywords:] fracture, fracture fixation, As social and economic development, transportation increasingly developed, traumatic fractures were increasing year by year. Clavicle fracture is one of the most common fractures of the shoulder is the most common fractures of the body, but also because the clavicle is between the shoulder girdle and the torso only constituted by the joint synovial tissue, so has its special structure. clavicle distal 1 / 3 is flat morphology, while the inner 1 / 3 of the bone segment is tube, near the junction of the two 1 / 3 the weakest segment of bone, especially the most vulnerable to fracture when the steering load, of which 1 / 3 of clavicle fractures fractures account for about 80%. nearly 8 years in our hospital to clavicle fractures with open reduction and Kirschner wire fixation achieved good results, now experience are summarized below. 1 Materials and Methods 1.1 General information from 2001 to 2008 a total of 56 patients treated clavicle fractures, including 42 males and 14 females, aged from 12 to 68 years old, average 36.3 years old. Including 38 cases of fracture, accounting for 67.9% of all clavicle fractures were treated open reduction and Kirschner wire fixation, 55 cases were followed up from 1 month to 1 year. 1.2 The indication for surgery or have been involved neurovascular injury can not be solved by closed reduction, fracture displacement seriously affect the skin, can not be solved by closed reduction, open fractures, multiple trauma is one of the shoulder with a floating collarbone shift bit unstable fractures and scapular fracture, closed reduction and patient’s condition does not allow the patient to the higher aesthetic requirements. 1.3 Surgical methods in brachial plexus and neck under anesthesia, patient was supine p