杨 渊,王 涛

锁骨中段折是临床常见的上肢骨折，约占所有锁骨骨折的80%，治疗方案的选择对患者后期关节功能的恢复至关重要。尽管部分骨折可通过保守治疗愈合，但显著移位、粉碎性骨折或伴有神经血管损伤等情况的骨折常需手术治疗。近年来，手术理念和技术飞速发展，手术方案的选择也转向精准化、微创化干预。本文旨在综述锁骨解剖及生理功能基础、流行病学特征、手术方案及未来趋势，介绍髓内固定及髓外固定等多种手术方案的优缺点及应用情况，探讨手术方案选择的影响因素，以期为临床医生针对不同患者选择最佳手术方案提供参考，促进患者术后功能康复。

锁骨中段骨折；髓内固定；髓外固定；肩关节功能；并发症

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