弹性钉及钢板治疗青中年女性锁骨中段骨折临床分析

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1、弹性钉及钢板治疗青中年女性锁骨中段骨折临床分析［摘要］目的口卩确治DAO弹性钉与锁骨解剖板治疗青中年女性锁骨中段骨折的临床疗效方法回顾性分析2012年1月-2015年8月该院收治的59例青中年女性锁骨中段骨折患者，分为AO弹性钉()组和锁骨解剖板(n=38)组。比较两组手术时间、出血量、透视次数、骨愈合时间、术后并发症及Constant-Murley肩关节功能评分(CMS)等指标的差异。结果59例均获得随访,随访时间13-26个月，平均(18.20±4.27)个月。弹性钉组与解剖板组的手术时间分别为(50.4±18.9)min和(65.7±20.1)min;出血量分别为(10.4

2、±4.6)mL和(71.2±16.3)mL;透视次数分别为(7.2±3.4)次和(1.5±0.3)次；住院时间分别为(5.2±1.4)d和(9.4±2.5)d;骨愈合时间分别为(11.8±3.6)周和(15.1±3.5)周，以上各指标间差异有统计学意义(P0.05L两组病例在骨不连、畸形愈合、感染及植入物刺激症等术后并发症的总体发生率上差异无统计学意义。弹性钉组对肩部外观较解剖板组更满意。结论与解剖板组相比，AO弹性钉在治疗青中年女性锁骨中段(简单型和楔型）骨折上更符合快速康复（ERAS）的理念，在肩部外观上更具优势，大大减轻了患者经济负担，值得临床推［关键词］锁骨；骨折；骨钉；

3、钢板［中图分类号］R687.3［文献标识码］A［文章编号］1674-0742(2016)12(b)-0072-04ClinicalAnalysisofYoungandMiddle-agedFemaleMidshaftclavicularFracturesFixedInternallybyAoSynthesTitaniumElasticNail(TEN)orAnatomicalPlatesZENGFeng,ZHOUZhi-ping,WANGChao-qiangDepartmentofOrthopedics,MindongHospitalAffiliatedtoFujianMedic

4、alUniversity,Ningde,FujianProvinee,355000China［Abstract］ObjectiveToanalyzeclinicaleffectofyoungandmiddle-agedfemalemid-shaftclavicularfracturesfixedinternallybyAOSYNTHESTitaniumElasticNail(TEN)oranatomicalplates・Methods59youngandmiddle-agedfemalewithmid-shaftclavicularfracturestreatedinourhos

5、pitalfromJanuary2012toAugust2015,wereretrospectivelyanalyzed.Thepatientsineluded21treatedwithTENand38withanatomicalplates・Theoperationtime,intraoperatvebloodlossandfluoroscopyfrequency,fracturehealingtime,postoperativecomplicationsandpostoperativeConstant-Murlyscores(CMS)werecomparedbetweenth

6、etwogroups・Results59patientswereallfollowedupby13~26(18.20±4.27)months.Theaverageoperationtimewas(50.4±18.9)mininTENgroup,and(65.7±20.1)mininanatomicalplategroup;theaverageintraoperatvebloodlosswas(10.4±4.6)mLinTENgroup,and(71.2±16.3)mLinanatomicalplategroup;theaverageintraoperatvefluoroscopy

7、frequencywas(7.2±3.4)timesinTENgroup,and(1.5±0.3)timesinanatomicalplategroup;theaveragehospitalstayswas(5.2±1.4)daysinTENgroup,and(9.4±2.5)daysinanatomicalplategroup;theaveragehealingtimewas(11.8±3.6)weeksinTENgroup,and(15.1±3.5)weeksinanatom