锁骨钩钢板治疗肩锁关节脱位合并锁骨远端骨折的临床效果研究  

Clinical study of clavicle hook plate in the treatment of acromioclavicular dislocation combined with distal clavicle fracture

作　　者：王连海 WANG Lian-hai(Department of Trauma and Orthopedics,Lanling County People's Hospital,Linyi 277700,China)

机构地区：[1]山东省临沂市兰陵县人民医院创伤骨科,277700

出　　处：《中国实用医药》2023年第6期53-56,共4页China Practical Medicine

摘　　要：目的 研究肩锁关节脱位合并锁骨远端骨折患者应用锁骨钩钢板治疗的临床疗效。方法 45例肩锁关节脱位合并锁骨远端骨折患者,按照随机方式分为对照组(23例)和观察组(22例)。对照组采用克氏针固定治疗,观察组采用锁骨钩钢板治疗。比较两组治疗前后肩关节功能评分、手术指标、炎性因子水平及并发症发生情况。结果 治疗1、3、6个月后,观察组肩关节功能评分分别为(49.49±11.44)、(70.54±11.42)、(88.55±11.75)分,高于对照组的(41.56±9.05)、(62.63±9.13)、(78.45±7.47)分,差异有统计学意义(P<0.05)。观察组术中出血量(79.23±11.45)ml少于对照组的(103.72±15.34)ml,手术时间(48.57±6.27)min、住院时间(8.37±1.41)d、愈合时间(66.94±6.44)d均短于对照组的(64.26±6.50)min、(12.47±1.55)d、(84.60±8.74)d,差异有统计学意义(P<0.05)。观察组血清白细胞介素-1(IL-1)(0.20±0.02)ng/ml、肿瘤坏死因子-α(TNF-α)(9.01±1.28)μg/L、C反应蛋白(CRP)(23.35±5.32)mg/L均低于对照组的(0.28±0.06)ng/ml、(13.62±1.70)μg/L、(57.80±7.44)mg/L,差异有统计学意义(P<0.05)。观察组并发症发生率为4.55%,明显低于对照组的26.09%,差异有统计学意义(P<0.05)。结论 对肩锁关节脱位合并锁骨远端骨折患者采用锁骨钩钢板治疗,可以更好地确保肩关节功能的恢复,降低身体炎性水平,提高手术治疗效果,降低并发症发生风险。Objective To study the clinical efficacy of clavicle hook plate in the treatment of acromioclavicular dislocation combined with distal clavicle fracture.Methods A total of 45 patients with acromioclavicular dislocation and distal clavicle fracture were randomly divided into a control group(23 patients)and an observation group(22 patients).The control group was treated with kirschner wire fixation,and the observation group was treated with clavicle hook plate.The shoulder joint function score,surgical index,inflammatory factors level and occurrence of complications before and after treatment were compared between the two groups.Results After 1,3 and 6 months of treatment,the shoulder joint function scores of the observation group were(49.49±11.44),(70.54±11.42)and(88.55±11.75)points,which were higher than(41.56±9.05),(62.63±9.13)and(78.45±7.47)points of the control group,and the differences were statistically significant(P<0.05).The intraoperative blood loss(79.23±11.45)ml in the observation group was less than(103.72±15.34)ml in the control group;the observation group had operative time of(48.57±6.27)min,hospitalization time of(8.37±1.41)d and healing time of(66.94±6.44)d,which were all shorter than(64.26±6.50)min,(12.47±1.55)d and(84.60±8.74)d in the control group;the differences were statistically significant(P<0.05).The observation group had interleukin-1(IL-1)of(0.20±0.02)ng/ml,tumor necrosis factor-α(TNF-α)of(9.01±1.28)μg/L,and C-reactive protein(CRP)of(23.35±5.32)mg/L,which were lower than(0.28±0.06)ng/ml,(13.62±1.70)μg/L,and(57.80±7.44)mg/L of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.55%,which was significantly lower than 26.09%in the control group,and the difference was statistically significant(P<0.05).Conclusion Clavicular hook plate treatment for patients with acromioclavicular dislocation and distal clavicular fracture can better ensure the recovery of shoulder joint function,reduc

关 键 词：肩锁关节脱位 锁骨远端骨折 锁骨钩钢板 炎性因子 并发症 

分 类 号：R687.3[医药卫生—骨科学]