15°“钩板角”锁骨钩钢板内固定对锁骨远端骨折患者术后疼痛与治疗效果的影响  

The Effect of 15°"Hook Plate Angle"Clavicle Hook Steel Plate Internal Fixation on Postoperative Pain and Treatment Outcomes in Patients with Distal Clavicle Fractures

作　　者：黄飞 马永成 HUANG Fei;MA Yongcheng(Department of Orthopedics,Xiangcheng East Hospital,Zhoukou Henan 466200)

机构地区：[1]项城东方医院骨科,河南周口466200

出　　处：《医学临床研究》2024年第7期1005-1008,共4页Journal of Clinical Research

摘　　要：【目的】探讨15°“钩板角”锁骨钩钢板内固定对锁骨远端骨折患者术后疼痛与治疗效果的影响。【方法】回顾性分析2016年1月至2021年2月本院收治的93例锁骨远端骨折患者的临床资料,其中使用0°“钩板角”锁骨钩钢板内固定患者46例(对照组),使用15°“钩板角”锁骨钩钢板内固定患者47例(观察组),比较两组手术情况、骨折愈合情况、术后并发症发生情况及手术前后视觉模拟评分法(visual analogue scale,VAS)评分、肩关节功能、复位效果、肩锁关节解剖学结构恢复情况。【结果】两组手术时间、术中出血量、骨折愈合时间比较,差异无统计学意义(P>0.05)。观察组术后1个月、3个月、6个月VAS评分均低于对照组(P<0.05)。观察组术后12个月的Constant-Murley评分、Neer评分、洛杉矶加利福尼亚大学(UCLA)肩关节评分系统评分均高于对照组(P<0.05)。两组术后复位效果及术后12个月的喙锁间距、前屈活动度、外旋活动度比较,差异均无统计学意义(P>0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。【结论】与传统0°“钩板角”锁骨钩钢板内固定相比,15°“钩板角”锁骨钩钢板内固定用于锁骨远端骨折患者内固定术中,可减轻患者术后疼痛,促进肩关节功能恢复。【Objective】To investigate the effect of 15°"hook plate angle"clavicle hook plate internal fixation on postoperative pain and treatment outcomes in patients with distal clavicle fractures.【Methods】A retrospective analysis was conducted on the clinical data of 93 patients with distal clavicle fractures admitted to our hospital from January 2016 to February 2021.Among them,46 patients were treated with 0°"hook plate angle"clavicle hook plate internal fixation(control group),and 47 patients were treated with 15°"hook plate angle"clavicle hook plate internal fixation(observation group).The surgical conditions,fracture healing,postoperative complications,visual analogue scale(VAS)scores before and after surgery,shoulder joint function,reduction effect,and anatomical structure recovery of the acromioclavicular joint were compared between the two groups.【Results】There was no statistically significant difference(P>0.05)in the surgical time,intraoperative blood loss,and fracture healing time between the two groups.The VAS scores of the observation group were lower than those of the control group at 1,3,and 6 months after surgery(P<0.05).The Constant Murley score,Neer score,and UCLA shoulder joint scoring system score of the observation group were all higher than those of the control group at 12 months after surgery(P<0.05).There was no statistically significant difference(P>0.05)in the postoperative reduction effect between the two groups,as well as in the beak lock distance,flexion range of motion,and external rotation range of motion 12 months after surgery.There was no statistically significant difference in the total incidence of complications between the two groups(P>0.05).【Conclusion】Compared with traditional 0°"hook plate angle"clavicle hook plate internal fixation,the use of 15°"hook plate angle"clavicle hook plate internal fixation for patients with distal clavicle fractures during internal fixation surgery can reduce postoperative pain and promote shoulder joint function recovery.

关 键 词：骨折 锁骨/损伤 锁骨/外科学 骨折固定术 内 疼痛 手术后 

分 类 号：R683[医药卫生—骨科学]