锁定钢板及钩钢板对Neer Ⅱ型锁骨远端骨折的疗效比较

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1145 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare and analyze efficacy and safety of the locking plate and hook plate internal fixation for Neer Ⅱ type efficacy and safety clavicle fracture. Methods 70 patients with neer Ⅱ distal clavicle fracture were randomly divided into two groups，with 35 cases in each group.The hook plate group were treated with hook plate internal fixation，while the locking plate group were treated with locking plate internal fixation.The operation time，intraoperative blood loss and incision length were compared between the two groups.Visual analogue scale (VAS) in 3 months and 6 months after surgery，Constant-Murley score of shoulder joint function，and UCLA score were compared between the two groups.Fracture healing time，coracoid space separation ratio in 6 months after surgery were compared between the two groups，and the incidence of adverse reactions were compared between the two groups.Results The operations were successfully completed in both groups.There was no significant difference in operation time and blood loss between groups (P＞0.05)，The incision length of the hook plate group was longer than that of the locking plate group (P＜0.01)，and the difference was statistically significant.The shoulder VAS score of the hook plate group was higher than that of the locking plate group，while the scores of Constant-Murley and UCLA were lower than those of the locking plate group (P＜0.01).There were no significant differences in fracture healing time and coracoid space separation ratio in 6 months after surgery between the two groups (P＞0.05).The incidence of adverse reactions of the hook plate group was higher than that of the locking plate group，and the difference was statistically significant(P＜0.05).Conclusion Locking plate and hook plate internal fixation can be applied to Neer type Ⅱ distal clavicle fracturest，the locking plate has smaller incision，and the postoperative shoulder joint pain and functional scores were better in the short term，it can be used as the optimal scheme for Neer Ⅱ type distal clavicle fracture.

Key words： distal clavicle fracture locking plate hook plate

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Wu Changqing
	Zhang Yuanzhou
	Zhang Ruifeng
	et al

Cite this article:

Wu Changqing,Zhang Yuanzhou,Zhang Ruifeng, et al. Curative Effect of Locking Plate and Hook Plate on Neer Ⅱ Distal clavicle Fracture and Safety of Comparison[J]. sygkzz, 2020, 26(10): 869-872.

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2020/V26/I10/869

［1］Wang HK，Liang LS，He RG，et al.Comparative analysis of locking plates versus hook plates in the treatment of Neer type Ⅱ distal clavicle fractures［J］.J Int Med Res，2020，48(4)：1-8.
［2］Sandstrom CK，Gross JA，Kennedy SA.Distal clavicle fracture radiography and treatment：a pictorial essay［J］.Emerg Radiol，2018，25(3)：311-319.
［3］胡喜春，黄长明，范华强，等.钢板线缆与钩钢板治疗Neer Ⅱ型锁骨远端骨折的对比［J］.中国矫形外科杂志，2019，27(22)：2046-2049.
［4］王国新，马友才，罗宝宁.锁骨钩钢板内固定治疗Neer Ⅱ型锁骨远端骨折［J］.中国骨与关节损伤杂志，2019，34(3)：285-286.
［5］Lopiz Y，Checa P，GarciaFernandez C，et al.Complications with the clavicle hook plate after fixation of Neer type Ⅱ clavicle fractures［J］.Int Orthop，2019，43 (7)：1701-1708.
［6］刘国铭，王钦奋，林克凤，等.全身应用神经生长因子对大鼠胫骨干骨折早期愈合作用及骨形态发生蛋白-2和血管内皮生长因子表达的影响［J］.中国组织工程研究，2020，24(29)：4680-4685.
［7］Lee W，Choi CH，Choi YR，et al.Clavicle hook plate fixation for distal-third clavicle fracture (Neer type Ⅱ)：comparison of clinical and radiologic outcomes between Neer types ⅡA and ⅡB［J］.J Shoulder Elbow Surg，2017，26 (7)：1210-1215.
［8］Stegeman SA，Nacak H，Huvenaars KH，et al.Surgical treatment of Neer typeⅡ fractures of the distal clavicle：a meta-analysis［J］.Acta Orthop，2013，84(2)：184-190.
［9］Xiong J，Chen JH，Dang Y，et al.Treatment of unstable diatal clavicle of fractures(Neer type Ⅱ)：a comparison of three internal fixation methods［J］.J Int Med Res，2018，46(11)：4678-4683.
［10］Lanier PJ，Speirs J，Koehler L，et al.Predictors of persistent pain after fixation of distal clavicle fractures in an active military population［J］.Orthopedics，2018，41(1)：e117-e126.
［11］Schliemann B，Rosslenbroich SB，Schneider KN，et al.Surgical treatment of vertically unstable lateral clavicle fractures (Neer 2b)with locked plate fixation and coracoclavicular ligament reconstruction［J］.Arch Orthop Trauma Surg，2013，133 (7)：935-939.
［12］魏国强，王伟，徐海涛，等.锁骨远端接骨板与锁骨钩钢板内固定治疗Neer Ⅱ型锁骨远端骨折的疗效比较［J］.中国骨与关节损伤杂志，2018，33(11)：1197-1199.
［13］刘清平，陈少坚，林臻，等.肩锁关节周围损伤锁骨钩钢板内固定术后肩痛的原因分析［J］.中国骨与关节损伤杂志，2017，32(3)：292-293.
［14］朱光明，刘宏鸣，严斌.锁定钢板与锁骨钩钢板内固定治疗Neer Ⅱ型锁骨远端骨折的疗效比较［J］.中国骨与关节损伤杂志，2020，35(3)：290-291.
［15］Govindasamy R，Kasirajan S，Doke T.Functional results of unstable (Type 2) distal clavicle fractures treated with superior anterior locking plate［J］.Arch Bone Jt Surg，2017，5(6)：394-399.

[1]	. [J]. sygkzz, 2020, 26(5): 440-443.