新型双Endobutton袢钢板联合关节镜治疗锁骨远端Neer IIB型骨折的临床分析

doi:10.13418/j.issn.1001-165x.2017.04.015

中国临床解剖学杂志 ›› 2017, Vol. 35 ›› Issue (4): 431-436.doi: 10.13418/j.issn.1001-165x.2017.04.015

新型双Endobutton袢钢板联合关节镜治疗锁骨远端Neer IIB型骨折的临床分析

刘刚¹,　张磊^1,2,　张宝露³,　周鑫¹,　汪国友¹,　关钛元¹,　郭晓光¹,　扶世杰¹

1. 西南医科大学附属中医医院骨关节外科, 四川泸州 646000； 2.南方医科大学中医药学院, 广州 510515；
3. 西南医科大学护理学院, 四川泸州 646000

收稿日期:2017-03-20 出版日期:2017-07-25 发布日期:2017-08-30
通讯作者: 扶世杰,主任医师,教授,留德学者，硕士生导师,Tel:13882759783, E-mail:fu_fsj@sina.com
作者简介:刘刚（1987-），男，四川泸州人，硕士研究生，研究方向：骨与关节损伤，Tel:18715718749, E-mail:2742335014@qq.com
基金资助:
沪州市人民政府-西南医科大学联合项目(2016LZXNYD-J08)；2016年地方高校国家级大学生创新创业训练计划项目（201610632006）；西南医科大学2017年度校级大学生创新创业训练计划项目（2017116）

A novel double-endobutton device assisted shoulder arthroscopy in treating Neer type IIB distal clavicle fracture

LIU Gang¹, ZHANG Lei ^1,2, ZHANG Bao-lu³, WANG Guo-you¹, ZHOU Xing¹, GUAN Tai-yuan¹, GUO Xiao-guang, FU Shi- jie¹

1.Department of Orthopedics, Traditional Chinese Medicine Hospital Affiliated to South-west Medical University, Luzhou 646000, Sichuan, China; 2.Institute of Traditional Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China; 3.College of Nursing Affiliated to South-west Medical University, Luzhou 646000, Sichuan, China

Received:2017-03-20 Online:2017-07-25 Published:2017-08-30

摘要/Abstract

摘要：

目的　探讨新型双Endobutton袢钢板联合关节镜治疗锁骨远端Neer IIB型骨折的临床疗效分析。方法　回顾性追踪40例锁骨远端Neer IIB型骨折分别行新型双Endobutton袢钢板(A组)和锁骨钩钢板(B组)固定的患者，各20人；并在术前、术后用Constant-Murley Score（CMS）和VAS评分；并客观测量其手术切口和术中出血量。结果　（1）A组、B组切口长度和术中出血量分别为：(2.99±0.71) cm、(6.10±0.98) cm (P<0.05)；(53.50±4.82) ml、(95.50±6.69) ml（P<0.05）；（2）CMS两组对比，术后1月A组优于B组且P<0.05，其余各时间段P>0.05；VAS评分两组术后1月和1年对比A组优于B组且P<0.05，术前和术后6月P>0.05。结论　新型双袢钢板治疗锁骨远端Neer II型骨折，具有切口短、出血量少，有利于早期的肩关节功能锻炼并且避免二次手术，是一种比较好的临床术式。

关键词: 锁骨远端Neer IIB型骨折, 　新型双袢钢板, 　锁骨钩钢板, 　关节镜

Abstract:

Objective The aim of this study was to assess the effect of a novel double-endobutton device assisted arthroscopy in treating Neer type IIB distal clavicle fractures. Methods We retrospectively analysized 40 patients with Neer type IIB distal clavicle fractures .They were randomly divided into 2 groups: one was the novel double-endobutton group (A, 20 patients), the other hook plate group (B, 20 patients). The measurement of CMS, VAS scores and incision length, blood loss were employed to assess the outcome of two groups. Result (1) The specific values were as follows: incision length:(2.99±0.71) cm, (6.10±0.98) cm (P<0.05); the blood loss: (53.50±4.82) ml, (95.50±6.69) ml (P<0.05); (2) For CMS part, the A group was significantly better than group B 1 month after surgery (P<0.05); compared with group B, the post-op 1 month and 1 year VAS Scores were significantly better (P<0.05), the preoperative and 6 months were with no statistical difference. Conclusion The novel double-endobutton device assisted arthroscopy in treating Neer type IIB distal clavicle fractures is a minimally invasive strategy with better clinical outcomes, which has lots of advantages including a short incision, less bleeding, lower cost, early functional exercise and without a second operation.

Key words: Neer type IIB distal clavicle fracture; , A novel double-endobutton; , Hook plate; , Arthroscopy

刘刚，张磊，张宝露，周鑫，汪国友，关钛元，郭晓光，扶世杰 . 新型双Endobutton袢钢板联合关节镜治疗锁骨远端Neer IIB型骨折的临床分析[J]. 中国临床解剖学杂志, 2017, 35(4): 431-436.

LIU Gang, ZHANG Lei, ZHANG Bao-lu, WANG Guo-you, ZHOU Xing, GUAN Tai-yuan, GUO Xiao-guang, FU Shi- jie. A novel double-endobutton device assisted shoulder arthroscopy in treating Neer type IIB distal clavicle fracture[J]. Chinese Journal Of Clinical Anatomy, 2017, 35(4): 431-436.

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新型双Endobutton袢钢板联合关节镜治疗锁骨远端Neer IIB型骨折的临床分析

A novel double-endobutton device assisted shoulder arthroscopy in treating Neer type IIB distal clavicle fracture

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