CAJ | 학술논문

目的比较记忆合金环抱器内固定与重建钢板内固定治疗有移位或粉碎性锁骨中段骨折的临床效果.方法 65例有移位或粉碎性锁骨中段骨折患者行记忆合金环抱器内固定或重建钢板内固定的治疗.其中记忆合金环抱器内固定组共30例患者,平均年龄28.1岁;重建钢板内固定组共35例患者,平均年龄26.1岁.所有患者得到12个月随访并进行肩关节功能评分.结果与重建钢板内固定组相比,记忆合金环抱器内固定组手术切口小、手术时间短、术中出血量少(P<0.05),记忆合金环抱器内固定组的术中损伤明显小于重建钢板内固定组;两组住院时间、住院费用、术后骨折愈合率、JOA肩关节功能评分差异无统计学意义.结论记忆合金环抱器内固定治疗有移位或粉碎性锁骨中段骨折的疗效优于重建钢板内固定.
목적 비교기억합금배포기내고정여중건강판내고정치료유이위혹분쇄성쇄골중단골절적림상효과.방법 65례유이위혹분쇄성쇄골중단골절환자행기억합금배포기내고정혹중건강판내고정적치료.기중기억합금배포기내고정조공30례환자,평균년령28.1세;중건강판내고정조공35례환자,평균년령26.1세.소유환자득도12개월수방병진행견관절공능평분.결과여중건강판내고정조상비,기억합금배포기내고정조수술절구소、수술시간단、술중출혈량소(P<0.05),기억합금배포기내고정조적술중손상명현소우중건강판내고정조;량조주원시간、주원비용、술후골절유합솔、JOA견관절공능평분차이무통계학의의.결론 기억합금배포기내고정치료유이위혹분쇄성쇄골중단골절적료효우우중건강판내고정.
Objective To compare the clinical outcome of shape memory alloy (SMA) embra-cing fixator and reconstruction plate fixation in treatment of displaced or comminuted midshaft clavicle fractures. Methods There were 65 patients with displaced or comminuted midshaft clavicle fractures surgically treated with either a SMA embracing fixator or a reconstruction plate. The patients were divided into two groups according to fixation methods, ie, SMA embracing fixator group (30 patients at average age of 28.1 years) and reconstruction plate group (35 patients at average age of 26.1 years). All pa-tients were followed up for mean 12 months and shoulder function was evaluated using shoulder score. Results Compared with reconstruction plate group, SMA embracing fixator had shorter operation time, smaller wound incision and less loss blood (all P < 0.05). However, there was no statistical difference in aspects of hospital stay, cost, JOA shoulder score and bone union rate between two groups (all P > 0.05). Conclusion The internal fixation with SMA embracing fixator is better than reconstruction plate fixation in treatment of midshaft clavicle fractures.