摘要
目的比较重建钢板和解剖型锁定钢板治疗RobinsonⅡB型锁骨骨折的临床效果。方法回顾性分析2016年1月~2018年12月我院收治的69例RobinsonⅡB型锁骨骨折患者的临床资料,根据选用钢板不同,将其分为重建钢板组(33例)和解剖型锁定钢板组(36例)。比较两组患者的手术时间、术中出血量、肩关节Constant评分、骨折愈合时间及切口延迟愈合、骨不连、内植物并发症(螺钉松动、钢板断裂)发生情况。结果解剖型锁定钢板组患者的手术时间短于重建钢板组,差异有统计学意义(P<0.05);两组患者的术中出血量比较,差异无统计学意义(P>0.05);解剖型锁定钢板组患者术后的骨折愈合时间短于重建钢板组,差异有统计学意义(P<0.05);两组患者的肩关节Constant评分比较,差异无统计学意义(P>0.05)。重建钢板组发生切口延迟愈合1例,骨不连1例,螺钉松动1例,钢板断裂5例;解剖锁定钢板组未发生相关并发症;解剖锁定钢板组患者的并发症总发生率低于重建钢板组,差异有统计学意义(P<0.05)。结论与重建钢板相比,解剖型锁定钢板治疗RobinsonⅡB型锁骨骨折具有固定稳定、愈合快、与钢板相关的并发症少等优点,值得临床推荐。
Objective To compare the clinical effect of reconstructed steel plate and anatomical locking steel plate in treatment of RobinsonⅡB clavicle fracture.Methods Retrospective analysis was performed on the clinical data of 69 patients with RobinsonⅡB clavicle fracture admitted to our hospital from January 2016 to December 2018,according to the choice of steel plate,they were divided into reconstructed steel plate group(33 cases)and anatomic locking steel plate group(36 cases).The operation time,intraoperative blood loss,Constant score of shoulder joint,fracture healing time and incidence of delayed incision healing,bone nonunion and internal plant complications(screw loosening and plate fracture)were compared between the two groups.Results The operation time of the anatomical locking steel plate group was shorter than that of the reconstructed steel plate group,and the difference was statistically significant(P<0.05).There was no significant difference in intraoperative blood loss between the two groups(P>0.05).The postoperative fracture healing time in the anatomical locking steel plate group was shorter than that in the reconstructed steel group,and the difference was statistically significant(P<0.05).There was no significant difference in the Constant score of the shoulder joint between the two groups(P>0.05).In the reconstructed steel plate group,1 case of delayed incision healing,1 case of bone nonunion,1 case of screw loosening,and 5 cases of steel plate fracture occurred,but no related complications occurred in the anatomical locking steel plate group,the total incidence of complications in the anatomical locking steel plate group was lower than that in the reconstructed steel plate group,the difference was statistically significant(P<0.05).Conclusion Compared with the reconstructed steel plate,the anatomical locking steel plate in the treatment of RobinsonⅡB clavicular fracture has the advantages of stable fixation,fast healing,fewer complications related to the steel plate,which is worthy of clinical r
作者
杨志强
陈言智
柏林刚
苏耀辉
张春宇
YANG Zhi-qiang;CHEN Yan-zhi;BAI Lin-gang;SU Yao-hui;ZHANG Chun-yu(Department of Emergency Surgery,the Second People′s Hospital of Lianyungang,Jiangsu Province,Lianyungang222000,China)
出处
《中国当代医药》
2020年第28期13-16,共4页
China Modern Medicine
基金
蚌埠医学院自然科学重点项目(BYKY2019249ZD)。
