解剖钢板内固定系统和重建钢板固定治疗锁骨中段骨折的效果分析

摘要/Abstract

摘要： 目的探讨与分析解剖钢板内固定系统和重建钢板固定治疗锁骨中段骨折的效果。方法选择2019年1月—2022年10月在苏州市吴江区第五人民医院入院并接受手术治疗的88例锁骨中段骨折患者作为研究对象,根据1:1随机掷骰子原则把88例患者分为解剖组44例与重建组44例。重建组给予重建钢板固定治疗,解剖组给予解剖钢板内固定系统治疗,记录与观察两组的治疗效果。结果两组术中出血量、手术时间、切口长度对比,差异无统计学意义（P>0.05）,解剖组术后住院时间、术后切口愈合时间、术后骨折创面愈合时间与重建组对比有显著减少（P<0.05）。解剖组术后3个月的肩峰下撞击征、植入物松动、肩关节炎、切口感染、静脉血栓等并发症发生率为4.55%,重建组为20.45%,解剖组与重建组对比有明显降低（P<0.05）。解剖组术后3个月的骨折复位质量优良率为97.73%,显著高于重建组的84.09%（P<0.05）。解剖组术后3个月的总体疗效优良率为95.45%,与重建组的相比有显著提高81.82%（P<0.05）。两组术后3个月的Constant and Murley评分明显高于术前1 d（P<0.05）,且解剖组术后3个月的Constant and Murley评分明显高于重建组（P<0.05）。结论相对于重建钢板内固定系统,解剖钢板内固定系统治疗锁骨中段骨折能促进患者的康复与骨折愈合,降低患者的并发症发生率,也能提高骨折复位质量,改善患者的总体疗效与肩关节功能。

关键词: 解剖钢板, 锁骨中段骨折, 骨折复位, 肩关节功能, 重建钢板, 并发症

Abstract: Objective To explore and analysis the effectiveness of anatomical steel plate internal fixation system and reconstruction steel plate fixation in the treatment of mid clavicular fractures. Methods From January 2019 to October 2022, 88 cases of patients with mid clavicle fractures who were admitted to a certain hospital and underwent surgical treatment were selected as the research subjects. Accorded to the 1:1 random dice rolling principle, 88 patients were divided into the anatomical group of 44 cases and the reconstruction group of 44 cases. The reconstruction group were treated with reconstruction steel plate fixation, while the anatomical group were treated with anatomical steel plate internal fixation system. The treatment effects of both groups were recorded and observed. Results There were no significant difference in intraoperative bleeding, surgical time, and incision length compared between the two groups (P>0.05). The postoperative hospital stay, incision healing time, and fracture wound healing time in the anatomical group were significantly reduced compared to the reconstruction group (P<0.05). The incidence rates of subacromial impingement sign, implant loosening, shoulder arthritis, incision infection, venous thrombosis and other complications 3 months after surgery in the anatomical group were 4.55%, and 20.45% in the reconstruction group. Compared with the reconstruction group, the incidence of complications in the anatomical group were significantly lower (P<0.05). The excellent and good rate of fracture reduction quality in the anatomical group at 3 months after surgery were 97.73%, significantly higher than 84.09% in the reconstruction group (P<0.05). The overall effective rate of the anatomical group at 3 months after surgery were 95.45%, which were significantly improved by 81.82% compared to the reconstruction group (P<0.05). The Constant and Murley shoulder joint scores at 3 months after surgery in both groups were significantly higher than those on the 1st day before surgery (P<0.05), and the Constant and Murley shoulder joint scores at 3 months after surgery in the anatomical group were also significantly higher than those in the reconstruction group (P<0.05). Conclusion Compared to the reconstruction steel plate internal fixation system, The anatomical steel plate internal fixation system can promote the recovery and fracture healing of patients with mid clavicular fractures, reduce the incidence of complications, improve the quality of fracture reduction, and improve the overall efficacy and shoulder joint function of patients.

Key words: anatomical steel plate, middle clavicle fracture, fracture reduction, shoulder joint function, reconstruction steel plate, complications

中图分类号:

R683.1

黄宁, 董荣. 解剖钢板内固定系统和重建钢板固定治疗锁骨中段骨折的效果分析[J]. 中华养生保健, 2024, 42(9): 40-43.

HUANG Ning, DONG Rong. Analysis of the Effectiveness of Anatomical Steel Plate Internal Fixation System and Reconstruction Steel Plate Fixation in the Treatment of Middle Clavicle Fractures[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(9): 40-43.

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