endobutton带袢钢板与锁骨钩钢板治疗锁骨远端骨折的临床疗效比较

《endobutton带袢钢板与锁骨钩钢板治疗锁骨远端骨折的临床疗效比较》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、Endobutton带袢钢板与锁骨钩钢板治疗锁骨远端骨折的临床疗效比较丁文峰宋国昱朱益华毕守盈(通讯作者)(重庆市垫江县人民医院骨科重庆408300)【摘要】R的：比较Endobutton带袢钢板与锁骨钩钢板治疗锁骨远端骨折的临床疗效。方法：按照数字随机表法将我院骨科收治的74例锁骨远端骨折患者分为Endobutton带袢钢板治疗组(观察组)和锁骨钩钢板治疗组(对照组),每组各37例，术后对患者进行随访，观察骨折愈合时间，同时采用Constant-Muley评分标准对临床疗效进行评价。结果：观察组患者和对照组患者骨折愈合平均时

2、间分别为(13.2±1.4)周和(13.6±1.7)周，组间差异未见统计学意义(P〉0.05)。观察组患者术后肩关节活动度及功能活动Constant-Muley评分优于对照组患者，Constant-Muley评分总分高于对照组患者，组间差异有统计学意义(P<0.05)o结论：Endobutton带袢钢板治疗锁骨远端骨折的临床疗效优于锁骨钩钢板，值得临床推广应用。【关键词】锁骨远端骨折；Endobutton带拌钢板；锁骨钩钢板；临床疗效【屮图分类号】R687【文献标识码】A【文章编号】1007-823

3、1(2015)21-0129-02TocomparetheclinicalefficacyofEndobuttonwithplateandclavicularhookplateintreatmentofdistalclaviclefracture[Abstract]ObjectiveTocomparetheclinicaleffectofEndobuttonplateandwithclavicularhookplateintreatmentofdistalclaviclefracture.MethodsAccordingtot

4、herandomnumbertablemethodwillbeadmittedtoourhospitalorthopedic74casesofdistalclaviclefracturewithendobuttontapeloopplatefixationinthetreatmentgroup(observationgroup)andtreatedwithclavicularhookplategroup(controlgroup),eacheachof37cases,afteroperationofpatientswerefo

5、lloweduptoobservethefracturehealingtime,atthesametime,theConstant-Muleyscoringcriteriatoevaluatetheclinicalcurativeeffect.ResultsTheobservationandcontrolgroup,theaveragehealingtimeoffracturepatientswerepatients(13.2±1.4)and(13.6±1.7)weeks,nosignificant

6、statisticaldifferencebetweenthegroups(P>0.05).Patientsinthecontrolgroup.ThepatientsintheobservationgroupaftertheshoulderjointactivityandfunctionalactivityofConstant-Muleyscorethan,Constant-Muleyscorehigherthanthecontrolgroup.Therewassignificantdifferencebetweenth

7、egroups(P<0.05).ConclusionEndobuttontapeloopplateintreatmentofdistalclaviclefractureclinicalcurativeeffectisbetterthanthatofclavicularhookplate,andisworthyofclinicalapplication.【Keywords】Distalclaviclefracture;Endobuttonplate;Clavicularhookplate;Clinicalcurativee

8、ffect锁骨远端骨折是临床常见的一种骨折类型，主要由摔倒吋上肢外展支撑或肩部直接受到的撞击所致，锁骨远端骨折保守治疗的效果并不理想，骨折不愈合率较高，因此临床主张进行手术治疗［1】。以往临床治疗锁骨远端骨折多采用锁骨钩钢板，近年来Endobutton带袢钢板在临床治疗锁骨远