摘要
目的比较钛制弹性髓内钉(TEN)与重建钢板两种内固定方法治疗锁骨中段骨折的临床疗效。方法将91例锁骨中段骨折患者随机分为TEN组(46例,采用TEN内固定)和RP组(45例,采用重建钢板内固定)。比较两组手术切口、手术时间、术中出血量、术后疼痛VAS评分、术后并发症以及术后肩关节功能评分。结果两组患者均获得3个月随访。切口大小、手术时间、术中出血量、术后1d及3dVAS评分、术后并发症、肩关节功能Constant评分两组比较差异均有统计学意义(P<0.05)。结论TEN治疗锁骨中段骨折有切口小、手术时间短、出血量少、疼痛轻微、并发症少以及肩关节功能恢复快等优点。
Objective To compare the curative effect of titanium elastic nail(TEN)and reconstruction plate(RP)fixation for treatment of midclavicular fractures.Methods The 91 patients with midclavicular fractures were randomly divided into TEN group and RP group.The 46 cases were fixed by TEN and 45 cases were fixed by RP.The incision,operative time,volume of bleeding,postoperative pain VAS,postoperative complications,Constant score of shoulder joint function of two groups were compared.Results Two groups of patients were both followed up for 3 months.There were statistically significant differences in the incision length,operative time,volume of bleeding,postoperative VAS of the first day and the third day,postoperative complications,Constant score of shoulder joint function between two groups(P<0.05).Conclusions TEN for the treatment of midclavicular fractures has the advantages of the smaller incision length,less operative time,less volume of bleeding,slight postoperative pain,fewer postoperative complications,better shoulder joint function.
作者
周勤坡
张峰
马大年
彭庆辉
费成刚
ZHOU Qin-po;ZHANG Feng;MA Da-nian;PENG Qing-hui;FEI Cheng-gang(Dept of Orthopaedics,the People′s Hospital of Xuyi County,Huaian,Jiangsu211700,China)
出处
《临床骨科杂志》
2019年第4期462-465,共4页
Journal of Clinical Orthopaedics
关键词
锁骨中段骨折
钛制弹性髓内钉
重建钢板
midclavicular fractures
titanium elastic nail
reconstruction plate
