向阳;雷建平;李远辉;林志荣;

• 1:广东珠海市人民医院创伤骨科
• 2:武汉市普爱医院西院骨一科

摘要(Abstract)：

[目的]比较双纽扣钢板结合骨缝线固定与锁骨钩钢板治疗成人NeerⅡB型锁骨远端骨折的疗效。[方法]回顾分析2009年1月~2015年10月本科手术治疗的66例NeerⅡB型锁骨远端骨折患者。其中,32例采用双纽扣钢板结合1号Ethibond不可吸收性缝线固定(双纽扣钢板组),其余34例采用锁骨钩钢板内固定治疗(钩钢板组)。比较两组的手术时间、骨折愈合时间、重返工作岗位时间、患者满意度等,术后3、6个月,1、2年,末次随访时的Constant评分及并发症。[结果]所有患者均顺利接受手术,无血管神经损伤等并发症,两组手术时间的差异无统计学意义。纽扣钢板组与钩钢板组患者分别获(29.10±5.59)个月和(30.47±7.05)个月随访。两组患者骨折愈合时间差异无统计学意义(P>0.05)。双纽扣钢板组重返工作岗位时间明显早于钩钢板组,差异有统计学意义[(2.76±1.20)个月vs(3.37±1.44)个月,P<0.05]。末次随访时,双纽扣钢板组的满意度明显高于钩钢板组,差异有统计学意义[93.75%(30/32)vs 70.59%(24/34),P<0.05],而双纽扣钢板组并发症率显著低于钩板组[9.38%(3/32)vs 32.35%(11/34),P<0.05]。术后3个月、6个月、1年,纽扣钢板组Constant评分均优于钩钢板组,差异均有统计学意义(P<0.05)。[结论]与锁骨钩钢板相比,双纽扣钢板结合骨缝线固定治疗成人NeerⅡB型锁骨远端骨折具有术后早期功能恢复、重返工作时间短、并发症发生率低及满意度高的优势。

关键词(KeyWords)： 锁骨远端骨折;骨折内固定术;双纽扣钢板;钩钢板

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 向阳;雷建平;李远辉;林志荣;

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参考文献(References)：

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