| 成 超,徐雪平,陆大明,朱金宏,陈 宁.桥接组合式内固定系统结合Nice结与锁定钢板治疗锁骨中段粉碎性骨折疗效比较研究[J].,2023,(3):534-538 |
| 桥接组合式内固定系统结合Nice结与锁定钢板治疗锁骨中段粉碎性骨折疗效比较研究 |
| Comparative Study on the Efficacy of Bridge Combined Type Internal Fixation System Combined with Nice Knot and Locking Plate in the Treatment of Comminuted Fracture of Middle Clavicle |
| 投稿时间：2022-05-27 修订日期：2022-06-22 |
| DOI：10.13241/j.cnki.pmb.2023.03.027 |
| 中文关键词: 桥接组合式内固定系统 Nice结 锁定钢板 锁骨中段粉碎性骨折 疗效 |
| 英文关键词: Bridge combined type internal fixation system Nice knot Locking plate Comminuted fracture of middle clavicle Efficacy |
| 基金项目:江苏省卫生健康委科研项目（M20200672） |
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| 中文摘要: |
| 摘要 目的：对比桥接组合式内固定系统（OBS）结合Nice结与锁定钢板治疗锁骨中段粉碎性骨折的疗效。方法：回顾性选取2021年6月至2022年1月间在我院接受治疗的锁骨中段粉碎性骨折患者（n=66）的临床资料。根据手术方式的不同将患者分为A组（锁定钢板治疗，32例）和B组（桥接组合式内固定系统结合Nice结，34例），对比两组临床症状恢复情况、并发症发生率、视觉疼痛模拟评分（VAS）、Constant-Murley评分和肩关节活动度。结果：两组骨折愈合时间对比无差异（P>0.05）。B组术中出血量少于A组，手术时间短于A组（P<0.05）。两组术后3个月Constant-Murley评分升高，VAS评分下降（P<0.05），B组术后3个月VAS评分低于A组，Constant-Murley评分高于A组（P<0.05）。两组术后3个月前屈、后伸、内旋、外旋的肩关节活动度增大（P<0.05），且B组术后3个月前屈、后伸、内旋、外旋的肩关节活动度均大于A组（P<0.05）。两组并发症发生率组间比较无统计学差异（P>0.05）。结论：OBS与锁定钢板治疗锁骨中段粉碎性骨折相比，OBS结合Nice结治疗可减少术中出血量，缩短手术时间，促进骨折愈合，扩大肩关节活动度，改善肩关节功能，疗效更好。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the efficacy of bridge combined type internal fixation system (OBS) combined with Nice knot and locking plate in the treatment of comminuted fractures of middle clavicle. Methods: The clinical data of patients with comminuted fractures of the middle clavicle (n=66) who were admitted to our hospital from June 2021 to January 2022 were retrospectively analyzed. According to the different surgical methods, the patients were divided into group A (locking plate treatment, 32 cases) and group B (bridge combined type internal fixation system combined with Nice knot, 34 cases). The recovery of clinical symptoms, incidence of complications, visual pain analogue scale (VAS), Constant-Murley score and shoulder joint range of motion were compared in the two groups. Results: There was no significant difference in fracture healing time in the two groups (P>0.05). The amount of bleeding in group B was less than that in group A, and the operation time was shorter than that in group A(P<0.05). The Constant-Murley score increased in the two groups at 3 months after operation, and VAS score decreased (P<0.05). The VAS score in the group B at 3 months after operation was lower than that in the group A, and the Constant-Murley score was higher than that in the group A(P<0.05). The range of motion of shoulder joint of forward flexion, backward extension, internal rotation and external rotation in the two groups at 3 months after operation increased (P<0.05), and the range of motion of shoulder joint of forward flexion, extension, internal rotation and external rotation in the group B at 3 months after operation were higher than those in the group A(P<0.05). There was no significant difference in the incidence of complications in the two groups(P>0.05). Conclusion: OBS is compared with locking plate in the treatment of comminuted fractures of the middle clavicle, OBS combined with Nice knot can reduce intraoperative blood loss, shorten operation time, promote fracture healing, expand the range of motion of shoulder joint, improve shoulder joint function, and which have better curative effect. |
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