摘要
目的比较切开复位锁定钢板内固定与切开复位克氏针髓内固定这两种治疗方法治疗锁骨中段骨折的不同疗效,并讨论相关问题。方法选择在我院骨科住院手术治疗的锁骨中段骨折患者70例,随机分为研究组和对照组各35例,研究组行切开复位锁定钢板内固定,对照组行切开复位克氏针髓内固定,所有患者都获得18~24个月的随访,多次复诊,行X光照片追踪观察患者锁骨骨折愈合情况。观察两组患者手术出血量、手术时间、骨折愈合时间、是否有并发症。观察两组患者术后3个月患侧肩关节Neer评分。结果两组患者手术出血量、手术时间和骨折愈合时间差异无统计学意义(P>0.05);对照组部分病例内固定松动,骨折延迟愈合,部分病例出现针尾刺激和针道感染,研究组未出现并发症。研究组患者术后3个月肩关节Neer评分优良率高于对照组,两组评分差异有统计学意义(P<0.05)。结论在治疗锁骨中段骨折方面,切开复位锁定钢板内固定比切开复位克氏针髓内固定具有更好治疗效果。
Objective To compare the curative effects of open reduction and locking plate internal fixation and open reduction and Kirschner wire intramedullary fixation in the treatment of middle clavicular fracture,and discuss the related problems.Methods 70 patients with middle clavicular fracture were randomly divided into study group and control group.The study group received open reduction and locking plate internal fixation,the control group received open reduction and Kirschner wire intramedullary fixation.All the patients were followed up for 18-24 months,and followed up for many times.X-ray photos were taken to observe the healing of clavicular fracture.The bleeding volume,operation time,fracture healing time and complications were observed.The neer score of shoulder joint in the two groups was observed 3 months after operation.Results There was no significant difference in the amount of bleeding,operation time and fracture healing time between the two groups(P>0.05);in the control group,some cases had loose internal fixation,delayed fracture healing,some cases had needle tail stimulation and infection,while in the study group,there was no complication.The excellent and good rate of neer score of shoulder joint in the study group was higher than that in the control group 3 months after operation,and the difference between the two groups was statistically significant(P<0.05).Conclusion In the treatment of mid clavicle fracture,open reduction and locking plate internal fixation is better than open reduction and Kirschner wire intramedullary fixation.
作者
林望得
LIN Wang-de(Department of Orthopedics,Gaoming District Hospital of traditional Chinese Medicine,Foshan,Guangdong 528500)
出处
《智慧健康》
2020年第10期105-106,109,共3页
Smart Healthcare
关键词
锁骨中段骨折
锁定钢板内固定
克氏针髓内固定
Middle clavicle fracture
Locking plate internal fixation
Kirschner wire intramedullary fixation
