双钢板固定锁骨近端骨折
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作者单位:

1.莒县人民医院创伤骨科,山东莒县 276500 ;2.潍坊市人民医院创伤骨科,山东潍坊 261041

作者简介:

牛德刚,副主任医师,研究方向:创伤骨科,(电子信箱)degangniu@163.com

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R683.41

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Double-plate fixation for proximal clavicle fracture
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1.Department of Traumatic Orthopaedics, Juxian People's Hospital of Juxian County, Juxian, Shandong 276500 , China ; 2.Departmentof Traumatic Orthopaedics, People's Hospital of Weifang City, Weifang,Shandong 261041 , China

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    摘要:

    [目的]评价双钢板固定锁骨近端骨折的临床疗效。[方法]回顾性分析 2020 年 1 月—2023 年 1 月采用双钢板技术治疗 16 例锁骨近端骨折患者的临床资料,评估临床及影像资料。[结果]患者均顺利完成手术,无神经、血管损伤等并发症。 手术时间(70.0±6.2)min,术中出血量(71.3±10.7)mL,术后随访时间(11.6±3.5)个月。随着术前,术后 3 个月和末次随访的时间推移,VAS 评分显著减少 [(6.6±1.7), (1.7±0.8), (0.3±0.6), P<0.001],而 Constant-Murley 评分 [(42.2±9.1), (74.2±7.8), (93.8± 3.5), P<0.001]、肩关节前屈上举 ROM [(51.0±9.7)°, (120.1±15.7)°, (172.5±4.8)°, P<0.001]、肩关节外展上举 ROM [(58.6±11.0)°, (127.8±18.8)°, (174.5±3.1)°, P<0.001]、肩关节内-外旋 ROM [(22.0±5.6)°, (53.5±11.5)°, (73.5±2.7)°, P<0.001] 均显著增加。末次随访时,X 线片显示骨折对合优,骨折全部骨性愈合,塑形好。[结论] 双钢板固定锁骨近端骨折具有术后并发症少、肩关节功能恢复好等优点。

    Abstract:

    [Objective] To evaluate the clinical consequence of double-plate fixation of proximal clavicle fracture. [Methods] A retrospective study was done on 16 patients who had the proximal clavicular fractures fixed with double plates from January 2020 to January 2023. All patients underwent double-plate fixation for proximal clavicular fracture. The clinical and imaging data were evaluated. [Results] All the patients had operation performed successfully without neurovascular injury and other serious complications, while with operative time of (70.0±6.2) min and intraoperative blood loss of (71.3±10.7) mL. They were followed up for (11.6±3.5) months in a mean. With time preoperatively, 3 months postoperatively and the last follow-up, the VAS score was significantly reduced [(6.6±1.7), (1.7±0.8), (0.3±0.6), P< 0.001), whereas the Constant-Murley score [(42.2±9.1), (74.2±7.8), (93.8±3.5), P<0.001], forward flexion and elevation range of motion (ROM) [(51.0±9.7)°, (120.1±15.7)°, (172.5±4.8)°, P<0.001], abduction and elevation ROM [(58.6±11.0)°, (127.8±18.8)°, (174.5±3.1)°, P< 0.001], and internal-external rotation ROM [(22.0±5.6)°, (53.5±11.5)°, (73.5±2.7)°, P<0.001] were significantly increased. At the last follow-up, the radiographs showed that the fractures in all patients were in good alignment and healed well. [Conclusion] This double-plate fixation of proximal clavicular fracture has the advantages of less postoperative complications and better shoulder function recovery.

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牛德刚,邹孝军,葛振新,等. 双钢板固定锁骨近端骨折[J]. 中国矫形外科杂志, 2025, 33 (8): 757-760. DOI:10.20184/j. cnki. Issn1005-8478.11103A.
NIU De-gang, ZOU Xiao-jun, GE Zhen-xin, et al. Double-plate fixation for proximal clavicle fracture[J]. Orthopedic Journal of China , 2025, 33 (8): 757-760. DOI:10.20184/j. cnki. Issn1005-8478.11103A.

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  • 收稿日期:2024-11-25
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  • 在线发布日期: 2025-04-22
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