| 摘要: |
| ［摘要］ 目的 观察锁骨远端微孔锁定钢板与锁骨远端钩形钢板内固定治疗锁骨远端骨折的临床效果。方法 将该院120例锁骨远端骨折患者分为观察组和对照组，各60例，观察组采用锁骨远端微孔锁定钢板内固定治疗，对照组采用锁骨远端钩形钢板内固定治疗，比较两组临床疗效、手术指标、上肢功能手臂与肩关节运动障碍（disabilities of the arm,shoulder and hand,DASH）评分及肩功能Constant评分差异。结果 观察组总有效率（96.67%）高于对照组（83.33%），差异有统计学意义（P<0.05）；两组手术时间、住院时间、出血量、骨折愈合时间比较差异无统计学意义（P>0.05）；观察组DASH评分［（3.15±0.94）分］低于对照组［（5.61±1.52）分］，差异有统计学意义（P<0.01）；观察组Constant评分［（91.58±4.77）分］高于对照组［（82.54±4.17）分］，差异有统计学意义（P<0.01）。结论 锁骨远端微孔锁定钢板与锁骨远端钩形钢板内固定均为治疗锁骨远端骨折的有效方式，锁骨远端微孔锁定钢板对关节的改善作用更为显著，应作为优选方案应用。 |
| 关键词: 微孔锁定钢板 钩形钢板 锁骨远端骨折 |
| DOI：10.3969/j.issn.1674-3806.2016.04.12 |
| 分类号:R 68 |
| 基金项目: |
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| Comparison of the clinical effect between distal clavicular microporous locking plate and hook-shaped plate fixation in the treatment of distal clavicular fractures |
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ZHANG Hui
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Department of Orthopedics, the Third Hospital Affiliated to Luohe Medical College, Henan 462000, China
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| Abstract: |
| ［Abstract］ Objective To study the clinical effects of distal clavicular microporous locking plate and hook-shaped plate fixation in the treatment of distal clavicular fractures.Methods One hundred and twenty cases with distal clavicular fractures in our hospital were divided into the observation group and the control group by the random number table method, with 60 cases in each group. The observation group received distal clavicular microporous locking plate for the treatment while the control group was treated with distal clavicular hook-shaped plate internal fixation. The clinical curative effect, operative indexes, DASH score of upper limb function and Constant score of shoulder function were compared between the two groups.Results The total effective rate in of the observation group(96.67%) was significantly higher than that of the control group(83.33%)(P<0.05). There were no significant differences in the operative time, length of stay in the hospital, amount of bleeding and fracture healing time between the two groups(P>0.05). DASH score of the observation group(3.15±0.94) was significantly lower than that of the control group(5.61±1.52)(P<0.01). Constant score of the observation group(91.58±4.77) was significantly higher than that of the control group(82.54±4.17)(P<0.01).Conclusion Distal clavicular microporous locking plate and hook-shaped plate fixation are both effective methods in the treatment of distal clavicular fractures. Distal clavicular microporous locking plate is more effective than hook-shaped plate fixation in improving joint function. |
| Key words: Microporous locking plate Hook-shaped plate Distal clavicle fracture |
