Needle threaded Kirschner wire fixation of clavicular fracture.doc

 PAGE \* MERGEFORMAT 6 Needle threaded Kirschner wire fixation of clavicular fracture [Keywords:] fracture, needle threaded Kirschner wire fixation Clavicle backbone smaller, superficial parts, and there is bending, being prone to fracture after the force, the fracture incidence of 5.98% total body. Not only for the usual conservative treatment, because of its easy to reset, fixed difficult, often forming effect of malunion of . clavicle fractures are more treatment, including needle threaded Kirschner wire fixation for the treatment of clavicle fracture with a low cost, simple operation, less periosteal stripping, fracture healing, few complications [12]. The author is self- January 2005 to December 2007 a total of 112 cases of clavicle fractures were treated, all with the tip threaded Kirschner wire fixation, with satisfactory results. are as follows. 1 Materials and Methods 1.1 Clinical data The group of 112 patients, male 85, female 27 cases, the minimum age of 15 years old and the oldest 82 years old. Including 90 cases of comminuted fracture, transverse fracture in 7 cases, 15 cases of oblique fracture. Are closed fracture avascular nerve injury, 12 cases of ipsilateral rib fractures, pneumothorax ipsilateral blood in 3 cases, 5 cases of ipsilateral scapular fracture, operative time after injury 6 h ~ 7 d. 1.2 Procedures After the success of cervical plexus anesthesia, the patient lying on the operating table, suffering from shoulder surgery by the bedside as possible, elevate the risk of shoulder, head to the healthy side, conventional disinfection shop towels, as the center for the fracture site incision length 3 ~ 5 cm , sharp exposure of the fracture ends, try not to periosteal stripping and fracture blocks connective tissue, according to canal use 2.5 mm or 3.0 mm Kirschner wire, self-processing of the Kirschner wire threaded needle about 2 cm. Kirschner smooth side caught in the bone drilling, since the retrograde drill into the