双enbuttn钢板与锁骨钩钢板治疗neerⅱ型锁骨远端骨折对比.doc

双endobutton钢板与锁骨钩钢板治疗Neer II型锁骨 远端骨折对比 ［ ］目的通过采用双endobutton钢板或锁 骨钩钢板的方法治疗Neer II型锁骨远端骨折，比较两 者治疗效果。方法整群收集2011年7月一2015年5 月期间该院骨科收治的Neerll型锁骨远端骨折患者 117例。按患者使用钢板类型进行分组：采用双 endobutton钢板治疗51例作为双endobutton钢板组， 锁骨钩钢板治疗66例双作为锁骨钩钢板组。比较两组 患者的骨折愈合时间和Constant-Murley评分。结果 所有患者切口均获得I期愈合，未发生切口感染和血 肿形成。术后随访时间为10?12个月，双endobutton 钢板组骨折愈合时间为10?16周，平均(13.8±1.9) 周；锁骨钩钢板组骨折愈合时间为10?17周，平均 (14.1±2.1)周;术后 Constant-Murley 总评分双 endobutton 钢板组为 78?98 分，平均(91.4±6.3) 分；锁骨钩钢板组为76?99分，平均(89.1±7.5)分。 两组患者骨折愈合时间，Constant-Murley总评分和各 项定量分数(除疼痛评分外)的差异均无统计学意义 (P0.05)，双endobutton钢板组的疼痛评分优于锁 骨钩钢板组［(9.3±1.7) vs (12.3±1.3)，P ［关键词］Endobutton钢板；锁骨钩；锁骨骨折 ［ ］R687 ［ ］A ［ ］ 1674-0742 (2016) 10 (c) -0082-03 ［Abstract］ Objective To compare the efficacy of double endobutton plate with clavicular hook plate in treatment of Neer type II distal clavicle fracture.Methods Group collected from July 2011 to May 2015 in our hospital orthopaedic hospital were Neer II collarbone, 117 patients with distal fractures. Grouped according to patients with steel plate type： 51 cases treated with double endobutton plates as double endobutton plate group， 66 cases of clavicular hook plate treatment double as clavicular hook plate group. Compare two groups of patients with fracture healing time and Constant - Murley score. Results All incisions reached primary healing, and there was no infection or hematoma formation. Postoperative follow-up time was 10?12 months.The mean time of fracture reunion in double endobutton plate group was (13.8±1.9) weeks (10?16 weeks) and that in clavicular hook plate group was (14.1±2.1) weeks(10?17 weeks，P〉0.05). The mean postoperative Constant-Murley scores in double endobutton plate and hook plate groups were (91.4±6.3) and (89.1±7.5)，respectively (P0.05). But the pain score in double endobutton plate group was less than that in hook plate group[ (9.3 ±1.7 ) vs (12.3±1.3)，(P0.05)，具有可比性。 1.2 手 术方法 臂丛阻滞或气管插管全身麻醉，患者取平卧位， 患侧肩部垫高。双ENDOBUTTON板组：首先沿锁骨外 侧长轴方向切开，近端起于锥状韧带止点上方，止于 肩锁关节肩，长约4?5cm，近折端骨膜下剥离.显露 锥状韧带止点上