锁骨远端锁定板和锁骨钩锁定板治疗成人NeerⅡ型锁骨远端骨折的临床疗效对比  

Comparison of clinical efficacy of distal clavicular locking plate and clavicular hook locking plate in the treatment of adult Neer typeⅡdistal clavicular fracture

作　　者：孙若宾[1] 许少刚[1] 赵家邦[1] 赵士君[2] SUN Ruobin;XU Shaogang;ZHAO Jiabang;ZHAO Shijun(Department of Emergency,Zhengzhou Orthopedic Hospital,Zhengzhou 450052,China;Department of Minimally Invasive Orthopedic Surgery,Zhengzhou Orthopedic Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州市骨科医院急诊科,450052 [2]郑州市骨科医院微创骨科,450052

出　　处：《天津医药》2022年第4期404-407,共4页Tianjin Medical Journal

摘　　要：目的比较锁骨远端锁定板和锁骨钩锁定板治疗成人NeerⅡ型锁骨远端骨折的临床疗效。方法回顾性分析63例NeerⅡ型锁骨远端骨折患者,锁骨远端锁定板组31例,锁骨钩锁定板组32例,从手术切口长度、术后疼痛、术后并发症及肩关节功能方面比较2组患者的临床疗效。结果锁骨远端锁定板组手术切口长度小于锁骨钩锁定板组。2组患者均在3个月左右达到骨性愈合。术后3个月,锁骨远端锁定板组术后疼痛评分和肩关节功能优于锁骨钩锁定板组;术后6个月,2组在术后疼痛评分和肩关节功能方面差异无统计学意义。锁骨远端锁定板组未出现明显并发症,锁骨钩锁定板组出现肩峰下骨侵蚀4例和肩关节疼痛10例;锁骨远端锁定板组的并发症发生率低于锁骨钩锁定板组(P<0.01)。结论对于成人NeerⅡ型锁骨远端骨折,使用锁骨远端锁定板内固定疗效更佳、并发症更少,有利于患者肩关节功能的快速康复,临床工作中可优先采用锁骨远端锁定板治疗。Objective plate in the treatment of adult Neer typeⅡdistal clavicular fracture.MethodsA total of 63 patients with NeerⅡdistal clavicle fracture were retrospectively analyzed,including 31 patients in the distal clavicle locking plate group and 32patients in the clavicle hook locking plate group.The clinical effects of the two groups were compared in terms of the length of surgical incision,postoperative pain,postoperative complications and shoulder joint function.Results length was smaller in the distal clavicular locking plate group than that of the clavicular locking plate group.Bone healing was achieved in the both groups after 3 months.Three months after surgery,the postoperative pain score and shoulder function were better in the distal clavicular locking plate group than those of the clavicular hook locking plate group.Six months after surgery,there were no significant differences in postoperative pain score and shoulder function between the two groups.There were no obvious complications in the distal clavicle locking plate group,and 4 cases of subacromial bone erosion and 10 cases of shoulder pain occurred in the clavicular hook locking plate group.The complication rate was significantly lower in the distal clavicular locking plate group than that of the clavicular hook locking plate group(P<0.01).Conclusion efficacy and fewer complications,which is conducive to the rapid recovery of shoulder joint function.The distal clavicle locking plate is preferred in clinical work.

关 键 词：骨折固定术 内 锁骨 NeerⅡ型锁骨远端骨折 锁骨远端锁定板 锁骨钩锁定板 

分 类 号：R683.411[医药卫生—骨科学]