锁骨远端锁定钢板与钩钢板治疗Neer Ⅱ型锁骨远端骨折疗效分析  

Comparison of distal locking plate and traditional clavicular hook plate in the treatment of Neer Ⅱ type distal clavicle fracture

作　　者：肖继龙 刘晓宁[1] 路露[1] 李晓筱 鞠阳[3] 孔德明[1] 仝超[1] 王浩军[1] Xiao Jilong;Liu Xiaoning;Lu Lu;Li Xiaoxiao;Ju Yang;Kong Deming;Tong Chao;Wang Haojun(Departnent of Orthopedics,,Jizhong Energy Fengfeng Group General Hospital,Handan Hebei,056001;CT Room,Jizhong Energy Fengfeng Group General Hospital,Handan Hebei,056001;Department of Medicine,Jizhong Energy Fengfeng Group General Hospital,Handan Hebei,056001,China)

机构地区：[1]冀中能源峰峰集团总医院骨科,河北邯郸056001 [2]冀中能源峰峰集团总医院CT室,河北邯郸056001 [3]冀中能源峰峰集团总医院内科,河北邯郸056001

出　　处：《生物骨科材料与临床研究》2020年第4期26-29,共4页Orthopaedic Biomechanics Materials and Clinical Study

基　　金：河北省邯郸市科技局2017科技计划内项目(1723208070-2)。

摘　　要：目的比较锁骨远端锁定钢板与锁骨钩钢板治疗NeerⅡ型锁骨远端骨折的疗效。方法回顾性分析2013年1月至2017年12月符合纳入标准的98例NeerⅡ型锁骨远端骨折患者的临床资料,其中锁骨远端锁定钢板治疗33例(A组),锁骨钩钢板治疗65例(B组)。定期复查肩关节DR,比较两组术后愈合情况。以疼痛视觉模拟评分(VAS)和Constant-Murley评分(术后3、6个月)来评价患肩功能。结果A组术后并发症明显少于B组(均<0.05)。术后3个月,VAS评分和Constant-Murley评分A组优于B组(P<0.05);术后6个月,两组间比较差异无统计学意义(P>0.05)。结论锁骨远端锁定钢板治疗NeerⅡ型锁骨远端骨折术后并发症较锁骨钩钢板少,功能恢复更佳。Objective To analysis the efficacy of locking plate and clavicular hook plate in the treatment of Neer Ⅱ type distal clavicle fractures. Methods The data about 98 patients with Neer Ⅱ type distal clavicle fractures from January 2013 to December 2017 was retrospectively analyzed. According to the different treatment methods, they were divided into2 groups: 33 cases of locking plate group(group A) and 65 cases of clavicular hook plate group(group B). The shoulder joint X-ray was reviewed at the 3 rd and 6 th month after the operation to observe bone healing and internal fixator. The pain visual analogue scale(VAS) and the Constant-Murley score of two groups were used to evaluate the shoulder function in 3 rd and 6 th month after the operation were compared. Results Postoperative complications of group A were significantly less than those of group B(P<0.05). The pain VAS scores and Constant-Murley scores at 3 rd month after operation were better in group A than group B(P<0.05). There was no significant difference between the two groups at6 th month after operation(P>0.05). Conclusion Compared with clavicular hook plate, distal clavicular locking plate has less postoperative complications and faster recovery in the treatment of Neer Ⅱ type distal clavicle fracture.

关 键 词：锁定钢板 锁骨钩钢板 锁骨远端骨折 

分 类 号：R683.41[医药卫生—骨科学]