首页|双棒桥接组合内固定系统治疗锁骨中段骨折的疗效

双棒桥接组合内固定系统治疗锁骨中段骨折的疗效

The effect of dual-rod bridge combined internal fixation system on clavicular midshaft frac-ture

扫码查看
目的 探讨双棒桥接组合内固定系统治疗锁骨中段骨折的疗效.方法 将63 例锁骨中段骨折患者按照内固定方式不同分为观察组(采用双棒桥接组合内固定系统治疗,29 例)和对照组(采用锁定单钢板内固定治疗,34 例).记录两组术中出血量、手术时间、骨折愈合时间、术后并发症发生情况及肩关节活动度.采用Constant-Murley评分评价肩关节功能恢复情况.结果 患者均获得随访,时间12~18 个月.术中出血量、手术时间观察组多(长)于对照组(P<0.01);骨折愈合时间观察组短于对照组(P<0.05).术后并发症发生率两组比较差异无统计学意义(P>0.05).肩关节活动度、Constant-Murley评分:术后 12 周观察组均大于对照组(P<0.05);术后1 年两组比较差异均无统计学意义(P>0.05).结论 双棒桥接组合内固定系统治疗锁骨中段骨折固定强度大、稳定性高,可对骨折断端持续动态加压,促进骨折愈合,更利于患者早期进行康复锻炼及肩关节功能的恢复.
Objective To explore the efficacy of dual-rod bridge combined internal fixation system in the treatment of clavicular midshaft fracture.Methods The 63 patients with clavicular midshaft fractures were divided into observa-tion group(treated with dual-rod bridge combined internal fixation system,29 cases)and control group(treated with locking single-plate internal fixation,34 cases).Intraoperative blood loss,surgery time,fracture healing time,postoper-ative complications and shoulder joint mobility were recorded in two groups.The Constant-Murley score was used to e-valuate shoulder joint function recovery.Results All patients were followed up for 12~18 months.The intraoperative blood loss and surgery time in the observation group were more(longer)than those in the control group(P<0.01),while the fracture healing time in the observation group was shorter than that in the control group(P<0.05).The in-cidence rate of postoperative complications had no difference between the two groups(P>0.05).Shoulder joint mob-ility and Constant-Murley scores:at 12 weeks after surgery,the observation group were larger than those of the control group(P<0.05),there were no statistical differences between two groups at 1 year after operation(P>0.05).Con-clusions The dual-rod bridge combined internal fixation system has a stronger fixation strength and higher stability in the treatment of clavicular midshaft fractures,allowing for continuous dynamic pressure on the fracture ends to promote fracture healing,and which facilitate early rehabilitation exercise and shoulder joint function recovery for patients.

clavicular midshaft fracturesdual-rod bridge combined internal fixation systemlocking plate

李伟康、蔡进奎、李漌涼、肖智勇、许海甲、廖文、李章华

展开 >

武汉市第三医院(武汉大学同仁医院)骨二科,湖北 武汉 430000

锁骨中段骨折 双棒桥接组合内固定系统 锁定钢板

2024

临床骨科杂志
安徽医科大学,安徽省医学会

临床骨科杂志

CSTPCD
影响因子:1.438
ISSN:1008-0287
年,卷(期):2024.27(1)
  • 4