摘要
[目的]比较桥接内固定系统结合Nice结与钢板固定治疗锁骨中段骨折的临床疗效。[方法]回顾性分析2019年1月—2021年6月本科收治的62例锁骨中段骨折患者的临床资料。根据医患沟通结果,28例采用桥接内固定系统结合Nice结治疗(桥接组),34例采用钢板内固定治疗(钢板组),比较两组围手术期、随访及影像结果。[结果]两组患者手术均顺利完成,均无血管、神经损伤等严重并发症。桥接组手术时间、术中出血量、恢复主动活动时间均显著优于钢板组(P<0.05),两组切口长度、切口愈合等级、住院时间的差异均无统计学意义(P>0.05)。随时间推移,两组术后早期VAS评分显著减少(P>0.05),相应时间点,两组间VAS评分的差异无统计学意义(P>0.05)。两组患者均获随访12个月以上,桥接组恢复完全负重活动时间显著早于钢板组(P<0.05)。随术后时间推移,两组患者肩关节Constant-Murley评分均显著增加(P>0.05),相应时间点两组间Constant-Murley评分的差异均无统计学意义(P>0.05)。影像方面,桥接组骨折复位质量优于钢板组,但两组间差异无统计学意义(P>0.05),两组骨折愈合时间的差异无统计学意义(P>0.05)。[结论]桥接内固定系统结合Nice结固定锁骨中段骨折临床效果优于传统钢板内固定。
[Objective]To compare the clinical efficacy of the bridge-link fixation combined with Nice knot(BLFNK)versus plate for midshaft clavicular fractures.[Methods]A retrospective study was conducted on 62 patients who received open reduction and internal fixa⁃tion(ORIF)for midshaft clavicle fractures in our departments from January 2019 to June 2021.According to the results of doctor-patient communication,28 patients were treated with BLFNK,while the remaining 34 patients had fractures fixed with plate.The documents re⁃garding to perioperative period,follow-up and imaging were compared between the two groups.[Results]All the patients in both groups had ORIF performed smoothly with no serious complications such as vascular and nerve injury.The BLFNK group proved significantly su⁃perior to the plate group in terms of operation time,intraoperative blood loss and time to return active activity(P<0.05),although there were no significant differences in incision length,incision healing grade and hospital stay between the two groups(P>0.05).The VAS scores for pain during the early postoperative period were significantly reduced over time in both groups(P<0.05),which was not significantly differ⁃ent between the two groups at corresponding time points(P>0.05).All of them in both groups were followed up for more than 12 months,and the BLFNK group resumed full weight-bearing activity significantly earlier than the plate group(P<0.05).The Constant-Murley scores significantly increased in both groups over time after surgery(P<0.05),which was not significantly different between the two groups at corre⁃sponding time points(P>0.05).Radiographically,the BLFNK group got better fracture reduction quality than the plate group regardless of the fact that there was no statistical difference between the two groups(P>0.05).In addition,there was no significant difference in fracture healing time between the two groups(P>0.05).[Conclusion]The bridge-link fixation system combined with Nice knot achieves better clini⁃cal outcomes than
作者
田浩然
柴雷子
宋财
梁西俊
乔彬
张魁林
TIAN Hao-ran;CHAI Lei-zi;SONG Cai;LIANG Xi-jun;QIAO Bin;ZHANG Kui-lin(Department of Traumatic Orthopedics,People's Hospital of Bozhou City,Bozhou 236800,China;Depart-ment of Traumatic Orthopedics,Bozhou Orthopaedic Hospital,Bozhou 236800,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2023年第8期678-682,共5页
Orthopedic Journal of China
基金
国家卫生计生委医药卫生科技发展研究中心项目(编号:W2015QJ058)。
