| 桡骨远端“T”形钢板结合缝合锚钉治疗NeerⅡb型锁骨远端骨折 |
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Received:June 20, 2020
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王进 |
WANG Jin |
武威市人民医院骨一科, 甘肃 武威 733000 |
Department of Orthopaedics, Wuwei People's Hosptial, Wuwei 733000, Gansu, China |
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| 王志旭 |
WANG Zhi-xu |
武威市人民医院骨一科, 甘肃 武威 733000 |
Department of Orthopaedics, Wuwei People's Hosptial, Wuwei 733000, Gansu, China |
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| 李自才 |
LI Zi-cai |
武威市人民医院骨一科, 甘肃 武威 733000 |
Department of Orthopaedics, Wuwei People's Hosptial, Wuwei 733000, Gansu, China |
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| 蒲彦川 |
PU Yan-chuan |
武威市人民医院骨一科, 甘肃 武威 733000 |
Department of Orthopaedics, Wuwei People's Hosptial, Wuwei 733000, Gansu, China |
softface007@126.com |
| 王虎林 |
WANG Hu-lin |
武威市人民医院骨一科, 甘肃 武威 733000 |
Department of Orthopaedics, Wuwei People's Hosptial, Wuwei 733000, Gansu, China |
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| 苗生龙 |
MIAO Sheng-long |
武威市人民医院骨一科, 甘肃 武威 733000 |
Department of Orthopaedics, Wuwei People's Hosptial, Wuwei 733000, Gansu, China |
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| 毕虎 |
BI Hu |
武威市人民医院骨一科, 甘肃 武威 733000 |
Department of Orthopaedics, Wuwei People's Hosptial, Wuwei 733000, Gansu, China |
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| 王冬 |
WANG Dong |
武威市人民医院骨一科, 甘肃 武威 733000 |
Department of Orthopaedics, Wuwei People's Hosptial, Wuwei 733000, Gansu, China |
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| 徐栋林 |
XU Dong-lin |
武威市人民医院骨一科, 甘肃 武威 733000 |
Department of Orthopaedics, Wuwei People's Hosptial, Wuwei 733000, Gansu, China |
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| 徐志斌 |
XU Zhi-bin |
武威市人民医院骨一科, 甘肃 武威 733000 |
Department of Orthopaedics, Wuwei People's Hosptial, Wuwei 733000, Gansu, China |
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| 期刊信息：《中国骨伤》2021年34卷，第7期，第679-683页 |
| DOI：10.12200/j.issn.1003-0034.2021.07.018 |
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目的：比较桡骨远端"T"形钢板结合缝合锚钉与锁骨远端解剖锁定钢板联合缝合锚钉治疗NeerⅡb型锁骨远端骨折的临床疗效。
方法：回顾分析自2014年6月至2018年6月收治42例NeerⅡb型锁骨远端骨折患者的临床资料，根据手术方式的不同，分为桡骨远端" T"形钢板结合缝合锚钉组（观察组）及锁骨远端解剖锁定钢板联合缝合锚钉（对照组）。其中观察组22例，男13例，女9例；年龄22~70（45.78±14.44）岁；左侧12例，右侧10例；车祸伤8例，摔倒14例。对照组20例中，男12例，女8例；年龄24~66（44.17±15.58）岁；左侧13例，右侧7例；车祸伤6例，摔倒14例。比较两组患者手术时间、术中出血量、骨折愈合时间，并采用Constant-Murley评分评定肩关节功能。
结果：两组患者术后均获得随访，时间18~24（20.96±2.02）个月，两组患者术后切口均Ⅰ期愈合，末次随访时两组病例骨折端均骨性愈合。两组患者在手术时间、术中出血量、骨折愈合时间方面比较差异均无统计学意义（P>0.05）；术后3个月两组肩关节功能比较差异无统计学意义（P>0.05）。
结论：两种方法治疗NeerⅡb型锁骨远端骨折均可获得满意的疗效，尤其适用于锁骨远端粉碎性骨折或骨质疏松患者；应用桡骨远端"T"形钢板结合缝合锚钉治疗NeerⅡb型锁骨远端骨折临床效果满意，给临床提供了另外一种可行的治疗方案。 |
| [关键词]:锁骨 骨折 骨折固定术,内 |
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| Case-control study on T-plate combined with suture anchors for the treatment of Neer Ⅱb clavicle fractures |
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Abstract:
Objective: To compare the clinical efficacy of distal radius T-plate combined with suture anchor and distal clavicle anatomical locking plate combined with suture anchor in the treatment of Neer Ⅱb distal clavicle fracture.
Methods: From June 2014 to June 2018,42 patients with Neer Ⅱb distal clavicle fractures were retrospectively analyzed. According to different surgical methods,they were divided into the observation group(T-shaped plate combined with suture anchor) and the control group(anatomical locking plate combined with suture anchor). There were 22 patients in the observation group and 20 patients in the control group. In the observation group,there were 13 males and 9 females,aged from 22 to 70 (45.78±14.44) years old,12 cases on the left side and 10 cases on the right side,8 cases of traffic accident injury and 14 cases of fall. In the control group,there were 12 males and 8 females,aged from 24 to 66 (44.17±15.58) years,13 cases on the left side and 7 cases on the right side,6 cases of traffic accident injury and 14 cases of fall. The operation time,intraoperative blood loss and fracture healing time were compared between the two groups,and Constant Murley score was used to evaluate shoulder joint function.
Results: The patients in both groups were followed up for 18 to 24 (20.96±2.02) months. The incisions of both groups were healed at stageⅠ. The fracture ends of both groups were bony healed at the last follow-up. There was no significant difference in operation time,intraoperative blood loss and fracture healing time between two groups(P>0.05);there was no significant difference in shoulder joint function between two groups at 3 months after operation(P>0.05).
Conclusion: The two methods can obtain satisfactory results in the treatment of Neer Ⅱb distal clavicle fractures,especially suitable for patients with comminuted distal clavicle fractures or osteoporosis; the clinical effect of the treatment of Neer Ⅱb distal clavicle fractures with T-type distal radius plate combined with suture anchor is satisfactory,which provides another feasible treatment scheme for clinic. |
| KEYWORDS:Clavicle Fractures Fracture fixation,internal |
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| 中文格式: | 王进,王志旭,李自才,蒲彦川,王虎林,苗生龙,毕虎,王冬,徐栋林,徐志斌.桡骨远端“T”形钢板结合缝合锚钉治疗NeerⅡb型锁骨远端骨折[J].中国骨伤,2021,34(7):679~683 |
| 英文格式: | WANG Jin,WANG Zhi-xu,LI Zi-cai,PU Yan-chuan,WANG Hu-lin,MIAO Sheng-long,BI Hu,WANG Dong,XU Dong-lin,XU Zhi-bin.Case-control study on T-plate combined with suture anchors for the treatment of Neer Ⅱb clavicle fractures[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(7):679~683 |
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