霍星辰,
李永利^,,
蔡长生,
徐涛,
董小杰
天津市蓟州区人民医院 骨科, 天津 301900

详细信息 作者简介: 霍星辰(1985-), 男, 主治医师。E-mail: huoxingchen28@163.com





通讯作者: 李永利, 主任医师。E-mail: liyongli@163.com 中图分类号: R683.41


摘要:目的探讨Nice结辅助锁定钢板治疗成人锁骨中段粉碎性骨折的疗效。方法收集2016年3月至2019年7月56例成人锁骨中段粉碎性骨折患者的临床资料，其中男38例，女18例。平均年龄（56.19±10.71）岁。所有患者均采用Nice结辅助骨折复位，锁定钢板固定治疗。术后指导功能锻炼，观察并发症发生率。末次随访时进行肩关节功能Neer评分，统计优良率。结果56例患者均获随访，随访时间8~20个月。切口均一期愈合，无感染。影像学复查显示骨折均解剖复位，愈合时间为3~6个月，未出现复位丢失及骨不愈合，内固定无松动、折断。2例出现皮肤激惹，并发症发生率3.57%。末次随访肩关节功能Neer评分：优45例，良7例，中4例，差0例，优良率92.86%。结论Nice结辅助锁定钢板治疗锁骨中段粉碎性骨折可以获得良好的解剖复位，固定强度可靠，并发症少，效果满意。
关键词: Nice结/
内固定/
锁骨/
骨折


Abstract:ObjectiveTo investigate the effect of nice knot assisted with locking plate for treatment of comminuted midshaft clavicular fractures in adults.MethodsThe clinical data of 56 adult patients with comminuted fracture of the middle clavicle from March 2016 to July 2019 were collected, including 38 men and 18 women. The average age was (56.19±10.71) years old. All patients were treated with nice knot assisted fracture reduction and locking plate fixation. The patients received postoperative guidance of functional exercise, and the incidence of complications was recorded. Shoulder function was evaluated according to Neer score of shoulder joint function at the last follow-up, and the excellent and good rate was analyzed.ResultsThe 56 patients were followed up for 8 to 20 months. The incisions were all healed in the first phase without infection. Imaging reexamination showed that the fracture healing time was 3-6 months, and there were no fracture reset loss, unhealed bones, loose or broken internal fixation. Skin irritation occurred in 2 cases, and the complication rate was 3.57%.The Neer score of shoulder joint function at the last follow-up indicated excellent in 45 cases, good in 7 cases, fair in 4 cases, and poor in 0 case, the excellent and good rate was 92.86%.ConclusionFor the treatment of comminuted midshaft clavicular fracture, Nice knot assisted with locking plate can obtain good anatomic reduction, reliable fixation strength, less complications and satisfactory effect.
Keywords:Nice knot/
internal fixation/
clavicle/
fracture

PDF全文下载地址:

https://journal.dmu.edu.cn/data/article/export-pdf?id=dlykdxxb_20210510