摘要
目的比较桥接组合式内固定系统和锁定钢板治疗锁骨中段骨折的临床疗效。方法 55例锁骨中段骨折患者分为2组,25例使用桥接组合式内固定系统治疗,30例使用锁定钢板治疗。比较2组患者的手术时间、术中出血量、骨折愈合时间及并发症发生情况。术后12个月时,采用Constant-Murley评分系统评估患肢肩关节功能。结果桥接组合式内固定系统患者术中出血量、骨折愈合时间、手术时间显著优于锁定钢板治疗患者(P <0. 05)。术后12个月Constant-Murley评分和并发症发生率比较,2组患者无显著差异(P=0. 383)。结论桥接组合式内固定系统治疗锁骨中段骨折的临床疗效优于锁定钢板。
Objective To compare the clinical efficacy of bridge combined fixation system （BCFS） and locking plate in the treatment of patients with middle segment of clavicle fractures. Methods Totally 55 patients with middle segment of clavicle fracture were divided into two groups, in which 25 cases were treated with BCFS and 30 cases were treated with locking plate. The operation time, intra-operative blood loss, fracture healing time and complications were compared between two groups. Constant-Murley score was used to evaluate the shoulder joint function of the affected limbs at 12 months after surgery. Results Patients treated with BCFS had less intra-operative bleeding, shorter fracture healing time and operation time than those treated with locking plates （ P 〈0.05）. There were no significant differences in Constant-Murley score and incidence rate of complications between the two groups at 12 months after surgery （ P =0.383）. Conclusion The BCFS has a better curative effect than locking plate in the treatment of patients with middle segment of clavicle fractures.
作者
李栋
卢小兵
周维波
郁忠杰
LI Dong;LU Xiaobing;ZHOU Weibo;YU Zhongjie(Trauma Center,Changzhou Second People′s Hospital Affiliated to Nanjing MedicalUniversity,Changzhou,Jiangsu,213000)
出处
《实用临床医药杂志》
CAS
2018年第19期50-52,56,共4页
Journal of Clinical Medicine in Practice
关键词
锁骨中段骨折
桥接组合式内固定系统
锁定钢板
疗效
middle segment of clavicle fractures
bridge combined fixation system
locking plate
efficacy
