Comparison of clinical effects in the treatment of fractures of coracoid process using single and double cannulated screws
Objective To compare the clinical effects in the treatment of fractures of coracoid process using single and double cannulated screws.Methods Totally,25 patients with coracoid fractures were admitted to Department of Orthopedics of Yixing People's Hospital from March 2018 to June 2023.All cases underwent open reduction and internal fixation.In terms of the fixation methods of the coracoid,11 males and 2 females with age of 44 years(range,31-62),and 9 males and 3 females with age of 45 years(range,19-61)were divided into single screw group(SSG)and double screws group(DSC),re-spectively.The operative time,blood loss,time of hospitalization,time of bone union,visual analog scale(VAS)score and Constant score were compared at the last follow-up between two groups.T test,non-para-metric test and Fisher's exact method were used for data analysis.Results The operative time in SSG was shorter than in DSG[96(70-140)min vs.125(95-150)min,Z=-2.623,P＜0.05].There were no significant differences between two groups in blood loss[95(30-200)ml vs.124(75-200)ml,Z=-1.710,P＞0.05],time of hospitalization[(14±2)d vs.(13±2)d,t=0.902,P＞0.05],time of bone union[(17±2)weeks vs.(16±2)weeks,t=1.761,P＞0.05],VAS score[0.5(0-3)vs.0.5(0-2),Z=-0.413,P＞0.05]and the Constant score[96(87-100)vs.95(90-100),Z=-0.664,P＞0.05]at the last follow-up.Conclusion There is no significant difference in clinical outcomes for treatment of coracoid fractures using single and double cannulated screws,however,fixation with single cannulated screws has shorter operative time than operation with double cannulated screws.
NETL
NSTL
万方数据
