摘要
目的:探究锁骨钩钢板和微型双钢板治疗锁骨远端粉碎性骨折的疗效及对术后并发症的影响。方法:回顾性分析本院2020年9月至2022年3月72例接受锁骨钩钢板和微型双钢板治疗事物锁骨远端粉碎性骨折患者的临床资料,按治疗方式分为锁骨钩钢板组(n=38)和微型双钢板组(n=34)。对比围术期指标(手术时间、手术出血量、骨折愈合时间、切口长度、住院费用),术后12 w、24 w肩关节功能、肩关节活动度(上提角、下提角)及术后并发症情况。结果:两组手术时间、术中出血量无明显差异(P>0.05);微型双钢板组骨折愈合时间短于锁骨钩钢板组(P<0.05);微型双钢板组切口长度短于锁骨钩钢板组(P<0.05);住院费用低于锁骨钩钢板组(P<0.05);术后12 w、24 w后微型双钢板组Constand-Murley评分高于锁骨钩钢板组(P<0.05);术后12 w、24 w后微型双钢板组上提角、下提角均大于锁骨钩钢板组(P<0.05);术后并发症概率低于锁骨钩钢板组(P<0.05)。结论:相较于锁骨钩钢板,微型双钢板能更有效帮助锁骨远端粉碎性患者肩关节功能恢复且能减少术后并发症发生。
Objective:To explore the curative effect of clavicle hook plate and mini double plate on comminuted fractures of distal clavicle and their influences on postoperative complications.Methods:A retrospective analysis was performed on the clinical data of 72 patients with comminuted fractures of distal clavicle who were treated with clavicle hook plate and mini double plate in the hospital between September 2020 and March 2022.According to different treatment methods,they were divided into clavicle hook plate group(n=38)and mini double plate group(n=34).The perioperative indexes(operation time,intraoperative blood loss,fracture healing time,incision length,hospitalization cost),shoulder function and range of motion(lifting upward angle,lifting downward angle)at 12 and 24 weeks after surgery,and postoperative complications were compared between the two groups.Results:There was no significant difference in operation time or intraoperative blood loss between the two groups(P>0.05).The fracture healing time in mini double plate group was shorter than that in clavicle hook plate group(P<0.05),incision length was shorter than that in clavicle hook plate group group(P<0.05),and hospitalization cost was lower than that in clavicle hook plate group(P<0.05).At 12 and 24 weeks after surgery,Constand-Murley scores in mini double plate group were higher than those in clavicle hook plate group(P<0.05),lifting upward angle and lifting downward angle were greater than those in clavicle hook plate group(P<0.05).The incidence of postoperative complications in mini double plate group was lower than that in clavicle hook plate group(P<0.05).Conclusion:Compared with clavicle hook plate,mini double plate can more effectively recover shoulder function and reduce postoperative complications in patients with comminuted fractures of distal clavicle.
作者
王炜亮
李培峰
Wang Wei-liang;Li Pei-feng(Department of Emergency Medicine,Luoyang Oriental People's Hospital(The Third Affiliated Hospital of Henan University of Science and Technology),Luoyang 471003,Henan,China;Department of Hip Surgery,Luoyang Orthopedic Hospital of Henan(Henan Provincial Orthopedic Hospital),Luoyang 471000,Henan,China)
出处
《四川生理科学杂志》
2023年第12期2249-2251,2258,共4页
Sichuan Journal of Physiological Sciences
关键词
锁骨钩钢板
微型双钢板
锁骨远端粉碎性骨折
临床疗效
并发症
Clavicle hook plate
Mini double plate
Comminuted fracture of distal clavicle
Clinical curative effect
Complication
