解剖型锁定钢板与钩钢板治疗不稳定锁骨远端骨折的疗效分析

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Abstract Objective To evaluate the clinical and radiologic outcomes of unstable distal clavicle fractures treated with anatomic plate and hook plate.Methods Between 2013.5 and 2016.1，40 patients with unstable distal clavicle fractures underwent open reduction and internal fixation at our institution with either a clavicular hook plate (27 patients) or a distal clavicular locking plate (13 patients) or a clavicular hook plate (27 patients) were evaluated.The main outcome comparisons included rate of union，rate of complication and the shoulder joint functional which evaluated using Constant and California-Los Angeles (UCLA) scores.Results Bone union was achieved in all patients.Satisfactory clinical and radiologic outcomes were obtained.Between the patients who used hook plate ［Constant score (87.8±4.9)；UCLA score (30.7±2.8)］and the patients who used locking plate［Constant score (90.2±2.7)；UCLA score (31.8±2.2)］and the patients who used hook plate［Constant score (87.8±4.9)；UCLA score (30.7±2.8)］，there was no statistically significant difference in clinical outcomes of Constant score and UCLA score.However，the results indicated that the locking plate group had a lower rate of complications.Conclusion Both distal clavicular locking plate and clavicular hook plate achieved good results in the treatment of unstable distal clavicle fractures；however，internal fixation with a distal clavicular locking plate had a lower rate of complications，patients without additional coraclavicular ligament augmentation also achieved satisfactory shoulder functional outcomes.Therefore，anatomic locking plate can be considered the first of the treatment options for unstable distal clavicle fracture.

Key words： distal clavicle fractures anatomic locking plate hook plate plate fixation

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［1］van der Meijden OA，Gaskill TR，Millett PJ.Treatment of clavicle fractures：current concepts review［J］.J Shoulder Elbow Surg，2012，21(3)：423-429.
［2］Neer CS，2nd.Fractures of the distal third of the clavicle［J］.Clin Orthop Relat Res，1968(58)：43-50.
［3］Yang S，Zhang R，Zhu Q，et al.Evaluation of surgical and non-surgical interventions for clavicle fractures［J］.Acta Orthop Traumatol Turc，2014，48(3)：253-258.
［4］Han OJ，Hoon KS，Ha LJ，et al.Treatment of distal clavicle fracture：a systematic review of treatment modalities in 425 fractures［J］.Arch Orthop Trauma Surg，2011，131(4)：525-533.
［5］Sambandam B，Gupta R，Kumar S，et al.Fracture of distal end clavicle：A review［J］.J Clin Orthop Trauma，2014，5(2)：65-73.
［6］张建华，张绪芳，刘骞，等.锁骨钩锁定钢板系统治疗锁骨远端NeerⅡ型骨折的疗效分析［J］.创伤外科杂志，2016，18(4)：238-240.
［7］师寅，郑欣，邱旭升，等.肩锁钩钢板治疗锁骨NeerⅡ型骨折疗效及并发症分析［J］.实用骨科杂志，2014，20(8)：745747.
［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］Gu X，Cheng B，Sun J，et al.Arthroscopic evaluation for omalgia patients undergoing the clavicular hook plate fixation of distal clavicle fractures［J］. J Orthop Surg Res，2014(9)：46.
［10］Lin HY，Wong PK，Ho WP，et al.Clavicular hook plate may induce subacromial shoulder impingement and rotator cuff lesion——dynamic sonographic evaluation［J］.J Orthop Surg Res，2014(9)：6.
［11］鞠文，蒋富贵，钱学峰，等.锁骨钩钢板内固定术后并发症分析及防治［J］.中国骨与关节损伤杂志，2015，30(7)：706-708.
［12］邹振吕，付苏，梅刚，等.锁定钢板治疗锁骨远端Neer Ⅱb型骨折的疗效分析［J］.中国矫形外科杂志，2015，23(16)：1514-1517.
［13］Andersen JR，Willis MP，Nelson R，et al.Precontoured superior locked plating of distal clavicle fractures：a new strategy［J］.Clin Orthop Relat Res，2011，469(12)：3344-3350.
［14］Zhang C，Huang J，Luo Y，et al.Comparison of the efficacy of a distal clavicular locking plate versus a clavicular hook plate in the treatment of unstable distal clavicle fractures and a systematic literature review［J］.Int Orthop，2014，38(7)：1461-1468.
［15］高志洋，马云淼，孙叶超，等.解剖锁定钢板结合喙锁韧带重建与锁骨钩钢板治疗锁骨远端Neer Ⅱ b型骨折的病例对照研究［J］.中国骨伤，2015，28(2)：112-116.
［16］Seyhan M，Kocaoglu B，Kiyak G，et al.Anatomic locking plate and coracoclavicular stabilization with suture endo-button technique is superior in the treatment of Neer Type Ⅱ distal clavicle fractures［J］.Eur J Orthop Surg Traumatol，2015，25(5)：827-832.
［17］Shin SJ，Ko YW，Lee J，et al.Use of plate fixation without coracoclavicular ligament augmentation for unstable distal clavicle fractures［J］.J Shoulder Elbow Surg，2016，25(6)：942-948.
［18］Madsen W，Yaseen Z，LaFrance R，et al.Addition of a suture anchor for coracoclavicular fixation to a superior locking plate improves stability of type ⅡB distal clavicle fractures［J］.Arthroscopy，2013，29(6)：998-1004.

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