Objective To discuss about the selection and application of clavicle fracture internal fixation method.Methods Selected from patients as the research object. The author USES the open reduction and plate internal fixation and gram needle fixation to treat clavicular fracture,divided into students'and group b according to the principle of reciprocity.Results The students'20 cases of postoperative X ray film review showed fracture of the anatomy of the registration.In 20cases of postoperative b fixed and no loosening,bending steel plate,fracture are anatomical alignment check after half an year,operation failure rate to zero.Conclusion Gram needle fixation with simple operation,lit le injury,without the advantages of the operation,more suitable for cross sectional fracture,and is not suitable for crushing type fractures.%目的：浅谈关于锁骨骨折内固定方法的选择和应用。方法选取我院收治的40例患者作为研究对象。笔者采用切开复位钢板内固定和克氏针内固定术治疗锁骨骨折，按照对等原则分为甲组以及乙组。结果甲组20例术后X线片复查显示骨折均达解剖对位。乙组20例术后固定良好，无钢板松动、弯曲现象发生，6个月后复查骨折均解剖对位愈合，手术失败率为零。结论克氏针内固定具有操作简便、损伤小、不用二次手术的优点，比较适用于横断骨折，而不适于粉碎型骨折。
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