克氏针联合袢钢板与解剖锁定钢板联合韧带悬吊治疗Neer IIb型锁骨远端骨折的疗效差异

doi:10.13418/j.issn.1001-165x.2021.06.016

中国临床解剖学杂志 ›› 2021, Vol. 39 ›› Issue (6): 711-715.doi: 10.13418/j.issn.1001-165x.2021.06.016

克氏针联合袢钢板与解剖锁定钢板联合韧带悬吊治疗Neer IIb型锁骨远端骨折的疗效差异

李玉，　马建文，　黄永

青海大学附属医院，西宁 810001

收稿日期:2020-04-08 出版日期:2021-11-25 发布日期:2021-12-01
作者简介:李玉（1975-），男，江苏盐城人，主治医师，研究方向：骨科临床，E-mail：glq6546@163.com

Clinical effect of Kirschner wire loop plate and anatomical locking plate combined with ligaments suspended for the treatment of Neer IIb distal clavicle fracture

Li Yu, Ma Jianwen, Huang Yong

Affiliated Hospital of Qinghai University, Xining 810001, Qinghai Province, China

Received:2020-04-08 Online:2021-11-25 Published:2021-12-01

摘要/Abstract

摘要： 目的　比较克氏针联合袢钢板与解剖锁定钢板联合喙锁韧带悬吊技术治疗Neer IIb型锁骨远端骨折的疗效。方法　将46例接受治疗的Neer IIb型锁骨远端骨折患者按照不同固定方式分为观察组（克氏针联合袢钢板，22例）和对照组（解剖锁定钢板联合喙锁韧带悬吊技术，24例），评估手术时间、透视次数、术中失血量、切口长度、骨折愈合时间、住院时间、VAS疼痛评分及肩关节Constant功能评分等指标。结果　观察组术中失血量、切口长度及骨折愈合时间均低于对照组（P<0.05）。观察组手术时间及透视次数均高于对照组（P<0.05）。住院时间方面，两组患者比较未见明显差异（P>0.05）。观察组喙锁间隙距离小于对照组（P<0.05）。两组患者术后即刻VAS评分及Constant功能评分无统计学差异（P>0.05）；术后3个月随访，观察组VAS评分及肩关节Constant功能评分均优于对照组（P<0.05）。结论　克氏针联合袢钢板治疗Neer IIb型锁骨远端骨折安全有效，能够有效提高患者生活质量，值得临床推广。

关键词: 袢钢板, 　解剖锁定钢板, 　锁骨远端骨折

Abstract: Objective 　To compare the difference of clinical effect between Kirschner wire loop plate and anatomical locking plate combined with ligaments suspended for the treatment of Neer IIb distal clavicle fracture.　Methods　According to different fixation methods, 46 patients with Neer IIb distal clavicle fracture who received treatment were divided into an observation group (22 patients with Kirschner wire loop plate) and a control group (24 patients with anatomical locking plate combined with ligaments suspended). Operation time, fluoroscopy frequency, intraoperative blood loss, incision length, fracture healing time, hospital stay, VAS pain score and Constant function score of shoulder joint and other indicators were evaluated.　Results　Intraoperative blood loss, incision length and fracture healing time in the observation group were significantly lower than those in the control group (P<0.05). While the operation time and fluoroscopy times in the observation group were significantly higher than those in the control group (P<0.05). There was no significant difference in the hospital stay between the two groups (P>0.05). The gap distance of beak lock in the observation group was lower than that in the control group (P<0.05). There were no statistical difference in the immediate VAS score and Constant function score between the two groups (P>0.05). At 3 months follow-up, the VAS score and the Constant function score of shoulder joint in the observation group were better than control group (P<0.05).　Conclusions　Kirschner wire loop plate for the treatment of Neer IIb distal clavicle fracture is safe and effective, and can effectively improve the quality of life of patients, which is worthy of extensive clinical promotion.

Key words: Loop plate, 　Anatomical locking plate;　Distal clavicle fracture

中图分类号:

R683.41

李玉, 　马建文, 　黄永. 克氏针联合袢钢板与解剖锁定钢板联合韧带悬吊治疗Neer IIb型锁骨远端骨折的疗效差异[J]. 中国临床解剖学杂志, 2021, 39(6): 711-715.

Li Yu, Ma Jianwen, Huang Yong. Clinical effect of Kirschner wire loop plate and anatomical locking plate combined with ligaments suspended for the treatment of Neer IIb distal clavicle fracture[J]. Chinese Journal of Clinical Anatomy, 2021, 39(6): 711-715.

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克氏针联合袢钢板与解剖锁定钢板联合韧带悬吊治疗Neer IIb型锁骨远端骨折的疗效差异

Clinical effect of Kirschner wire loop plate and anatomical locking plate combined with ligaments suspended for the treatment of Neer IIb distal clavicle fracture

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