锁骨干部骨折及接骨板与其解剖分型的匹配性研究
Research on clavicle cadre fracture and the congruence between bone fracture plate and anatomical classification
目的 改进现有锁骨接骨板，为锁骨骨折的临床治疗提供解剖学基础。 方法 对115根锁骨干标本及115例成人锁骨骨折影像学资料进行相关数据测量并总结；将市面上两种常用锁骨接骨板分别与锁骨干标本进行匹配。 结果 115根锁骨干标本中I、II、III型锁骨分别占45.2%、45.2%、9.6%；115例锁骨骨折影像学资料中3型锁骨分别占14.8%、57.4%、27.8%，锁骨干部骨折最多，占73.9%；改进后锁骨接骨板模型与两种常用锁骨接骨板对115根锁骨干标本贴合匹配程度的Kappa值分别为：0.38、0.51。 结论 新型锁骨接骨板模型与各型锁骨的匹配贴合程度较前有明显提升，对临床应用具有一定的指导意义。
Objective To improve the existing clavicular plate, and to provide the anatomical basis for clinical treatment of clavicular fracture. Methods The relevant data were collected and analyzed form 115 clavicular specimens and radiographic images of 115 cases of clavicular fractures; the compatibility of the two commercially available steel plates for clavicular fractures with the clavicular specimens were carried out, respectively. Results In 115 clavicles, type I, II, and III clavicle accounted, respectively, for 45.2%, 45.2% and 9.6%; in imaging data of 115 cases of clavicle fracture, fractures in the three types of the clavicle accounted for 14.8%, 57.4% and 27.8%, respectively. Fracture of the clavicular shaft is the most common one, accounting for 73.9%; the kappa values of compatibility of the modified steel plate and the conventional plates with the three types of the clavicle was 0.38 and 0.51, respectively. Conclusion The modified steel for clavicular fracture has obvious improvement in compatibility compared with the conventional ones. Our study has certain guiding significance for the clinical application.
锁骨 / 锁骨骨折 / 分型 / 测量 / 接骨板 / 匹配性
Clavicle / Fracture of clavicle / Classification / Measurement / Plate / Matching
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