锁骨远端解剖锁定钢板联合缝合锚和锁骨钩钢板治疗锁骨远端不稳定骨折的临床疗效分析  

Effects of distal clavicula anatomical locking plate using suture anchor and clavicular hook plate for the treatment of distal clavicular unstable fractures

作　　者：黄晓文[1] 张玉富[2] 公茂琪[2] 黄强[2] 蒋协远[2] 

机构地区：[1]清华大学医学中心,北京100084 [2]北京积水潭医院创伤骨科,北京100035

出　　处：《南京医科大学学报（自然科学版）》2015年第6期854-857,共4页Journal of Nanjing Medical University(Natural Sciences)

基　　金：北京市医管局临床医学发展专项"扬帆计划"项目(XMLX201307)

摘　　要：目的 ：比较锁骨远端不稳定骨折进行锁骨远端解剖锁定钢板联合缝合锚固定和锁骨钩钢板固定的临床疗效。方法 ：回顾性分析2011年3月~2013年3月收治的获得完整随访的锁骨远端不稳定骨折83例,分为锁骨远端解剖锁定钢板联合缝合锚固定组（A组）和锁骨钩钢板组（B组）进行回顾性分析,比较手术一般情况,骨折愈合时间和术后肩关节外展上举、后伸、外旋、内旋、内收等功能活动及Constant-Murley评分。结果：两组在骨折愈合时间、伤口长度、出血量比较上无统计学差异（P〉0.05）。在手术时间和治疗费用上B组较A组有统计学差异（P〈0.05）。A组在肩关节外展上举、后伸、外旋、内旋功能以及Constant-Murley评分上较B组有明显优势,有显著统计学差异（P〈0.05）。结论 ：对于锁骨远端不稳定骨折运用锁骨远端解剖锁定钢板联合缝合锚固定较锁骨钩钢板在肩关节功能恢复方面有明显优势,值得推广。Objective：To compare the clinical results of the distal clavicular anatomical plates using suture anchor and clavicular hook plates for the treatment of distal clavicular fractures. Methods： From March 2011 to March 2013,83 patients with clavicular unstable fractures ,who were treated and followed up, were analyzed by retrospective analysis. Forty-five patients were treated with the distal clavicular anatomical locking plates with using the suture anchor （Group A）,while the rest 38 patients were treated by clavicular hook plates （Group B）. The general conditions,fracture healing times,physical functions of shoulder joint especially in upthrow,backward extension,extorsion and intorsion,as well as Constant--Murley scores were followed up periodically and compared between the two groups. Results： No significant differences were found in the fracture healing,incision length and blood loss （P 〉 0.05）. Patients in Group A presented better physical functions of shoulder joint especially in upthrow, backward extension, extorsion and intorsion, as well as a higher Constant--Murley score, compared with Group B （P 〈 0.05）. Conclusion： For the treatment of distal clavicular unstable fractures ,the distal clavicular anatomical locking plates using the suture anchor achieves good clinical results, especially in the shoulder joint function recovery.

关 键 词：锁骨远端骨折 缝合锚 锁骨远端解剖锁定钢板 锁骨钩钢板 

分 类 号：R683.41[医药卫生—骨科学]