两种钢板治疗锁骨远端骨折的疗效比较  

Comparison of curative effect between two kinds of plates for treatment of distal clavicular fracture

作　　者：朱知辉 毛文华 郑驰前 ZHU Zhi-hui;MAO Wen-hua;ZHENG Chi-qian(SectionⅠ,Dept of Orthopaedics,the People′s Hospital of Xianju County,Zhejiang Southeast Campus of Zhejiang Provincial People′s Hospital,Xianju Hospital Affiliated of Hangzhou Medical College,Taizhou,Zhejiang 317300,China)

机构地区：[1]仙居县人民医院(浙江省人民医院浙东南院区,杭州医学院附属仙居医院)骨一科,浙江台州317300

出　　处：《临床骨科杂志》2024年第3期366-369,共4页Journal of Clinical Orthopaedics

摘　　要：目的 比较锁骨钩钢板与锁骨外侧解剖钢板治疗锁骨远端骨折的疗效。方法 将40例锁骨远端骨折患者按照手术方式不同分为对照组(采用锁骨钩钢板内固定治疗,20例)和观察组(采用锁骨外侧解剖钢板内固定治疗,20例)。比较两组手术指标、骨折愈合时间、肩关节活动度、术后并发症发生率,采用Constant-Murley评分系统评价肩关节功能。结果 患者均获得随访,时间12~18个月。手术时间、术中出血量与住院时间两组比较差异均无统计学意义(P>0.05)。骨折愈合时间观察组短于对照组(P<0.05)。末次随访时,肩关节活动度、肩关节功能优良率观察组均优于对照组(P<0.05)。术后并发症发生率观察组低于对照组(P<0.05)。结论 相较于锁骨钩钢板内固定,锁骨外侧解剖钢板内固定治疗锁骨远端骨折可缩短骨折愈合时间,改善肩关节功能,降低术后并发症发生率。Objective To compare the efficacy of clavicular hook plate and lateral clavicular anatomical plate in the treatment of distal clavicular fractures.Methods The 40 patients with distal clavicular fractures were divided into two groups according to different surgical methods,with 20 cases in each group.The patients who received clavicular hook plate treatment were in the control group,and the patients who received lateral clavicular anatomical plate treatment were in the observation group.The surgical indicators,fracture healing time,shoulder joint activity and complication incidence rate of the two groups were compared.The Constant-Murley scoring system was used to evaluate the excellent-good rate of shoulder joint function.Results Both groups of patients were followed up for 12~18 months.There were no statistical differences between the two groups in operative time,intraoperative bleeding volume,and hospital stay(P>0.05);the fracture healing time in the observation group was shorter than that in the control group(P<0.05).At the last follow-up,the range of motion of the shoulder joint and the excellent-good rate of shoulder joint function in the observation group were better than those in the control group(P<0.05);the incidence rate of complications in the observation group was lower than that in the control group(P<0.05).Conclusions Compared with clavicular hook plate internal fixation,the treatment of distal clavicular fractures with the lateral clavicular anatomical plate can shorten the fracture healing time and improve shoulder joint function,decrease the incidence rate of complications.

关 键 词：锁骨钩钢板 锁骨外侧解剖钢板 锁骨远端骨折 肩关节功能 

分 类 号：R683.1[医药卫生—骨科学] R687.3[医药卫生—外科学]