兩種不同材料植入物內(nèi)固定修復鎖骨遠端骨折重建穩(wěn)定性.doc

兩種不同材料植入物內(nèi)固定修復鎖骨遠端骨折：重建穩(wěn)定性的比較蔡滕，陳勇解放軍南京軍區(qū)南京總醫(yī)院湯山分院骨二科，江蘇省南京市 211131Two different kinds of fixation materials in repair of distal clavicle fracture: stability of reconstructionCai Teng, Chen YongSecond Department of Orthopedics, Tangshan Branch, Nanjing General Hospital of Nanjing Military Area Common of Chinese PLA, Nanjing 211131, Jiangsu Province, China摘要 背景：鎖骨遠端骨折臨床上目前采用的鎖骨鉤形鋼板、克氏針張力帶都不能實現(xiàn)穩(wěn)定性、功能保護的雙重作用，而鎖骨遠端微孔鎖定鋼板的應用使得兼顧兩者療效成為可能。目的：對比分析鎖骨遠端微孔鎖定鋼板、鎖骨遠端鉤形鋼板內(nèi)固定修復鎖骨遠端骨折的臨床療效。方法：2011年3月至2013年3月收治鎖骨遠端骨折患者40例，按照自愿原則進行鎖骨遠端微孔鎖定鋼板和鎖骨遠端鉤形鋼板內(nèi)固定治療。對比觀察兩組患者的圍手術(shù)期指標(手術(shù)時間、出血量、住院日)、臨床療效(加州大學肩關(guān)節(jié)評分和美國肩肘外科評分)、內(nèi)固定后肩關(guān)節(jié)功能(Karlsson標準)以及總體治療費用(包括取鋼板及功能訓練費用)。結(jié)果與結(jié)論：所有患者均順利完成內(nèi)固定治療，并在術(shù)后1年左右取出內(nèi)固定物，進行必要的相關(guān)康復訓練3個月以上。兩組患者圍手術(shù)期指標差異無顯著性意義(P 0.05)，但是在臨床療效、內(nèi)固定后Karlsson肩關(guān)節(jié)功能評分等方面，鎖骨遠端微孔鎖定鋼板組具有明顯優(yōu)勢(P 0.05)。提示鎖骨遠端微孔鎖定鋼板可以有效重建骨折部位的穩(wěn)定性，同時較好的保留關(guān)節(jié)功能。中國組織工程研究雜志出版內(nèi)容重點：人工關(guān)節(jié)；骨植入物；脊柱；骨折；內(nèi)固定；數(shù)字化骨科；組織工程全文鏈接：窗體頂端關(guān)鍵詞 ： 植入物； 骨植入物； 鎖骨遠端骨折； 鎖骨遠端微孔鎖定鋼板； 鎖骨遠端鉤形鋼板； 臨床療效； 治療方案； Abstract： BACKGROUND: For distal clavicle fracture, clavicular hook plate and Kirschner wire tension band were used in the clinic, but they cannot keep the dual function of stability and functional protection. However, the application of microporous locking plate of distal clavicle makes it possible to double efficacy. OBJECTIVE: To compare and analyze the clinical outcomes of distal clavicle microporous locking plate and clavicular hook plate.METHODS: From March 2011 to March 2013, 40 patients with distal clavicle fractures were involved in this study. They were divided into two groups with the voluntary principles: distal clavicle microporous locking plate group and clavicular hook plate group. We compared and observed perioperative indicators (operation time, blood loss, and hospitalization days), clinical curative effects (University of California at Los Angeles scoring system and American Shoulder and Elbow Surgeons Scale), the score of shoulder joint function (Karlsson standard) and the overall treatment (removed the plate and functional training costs).RESULTS AND CONCLUSION: All patients successfully underwent surgery. At 1 year after surgery, internal fixators were taken out. Necessary relevant rehabilitation training was performed for more than 3 months. There was no significant difference in perioperative indicators (P 0.05). However, clinical curative effects and the score of Karlsson shoulder joint function showed significant advantages in the microporous locking plate group (P 0.05). We draw the conclusion that distal clavicle microporous locking plate can effectively reconstruct the stability of the fracture site, and better retain the function of the joints at the same time.中國組織工程研究雜志出版內(nèi)容重點：人工關(guān)節(jié)；骨植入物；脊柱；骨折；內(nèi)固定；數(shù)字化骨科；組織工程全文鏈接：Key words： clavicle; fractures, bone; internal fixators; shoulder joint; 窗體底端 中圖分類號:R318 通訊作者: 陳勇，碩士，副主任醫(yī)師，解放軍南京軍區(qū)南京總醫(yī)院湯山分院骨二科，江蘇省南京市 211131 作者簡介: 蔡滕，男，1982年生，江蘇省南京市人，漢族，2012年南京大學醫(yī)學院畢業(yè)，碩士，主要從事骨與關(guān)節(jié)損傷方面的研究。引用本文: 蔡滕,陳勇. 兩種不同材料植入物內(nèi)固定修復鎖骨遠端骨折：重建穩(wěn)定性的比較J. 中國組織工程研究, 2014, 18(26): 4136-4141. Cai Teng,Chen Yong . Two different kinds of f