CAJ | 학술논문

目的评价微创经皮锁定钢板内固定(MIPPO)与切开复位重建钢板内固定(ORIF)两种方法治疗锁骨骨折的疗效.方法 2011年1月至2012年6月,对42例锁骨骨折患者,分别采用MIPPO和ORIF两种方法治疗,观察术中出血量、手术时间、住院时间、术后并发症发生率以及骨折愈合时间、肩关节功能(Neer评分),并进行对比研究.结果两组的手术时间、术后并发症发生率比较,差异均无统计学意义(P＞0.05)；术中出血量、住院时间比较,差异有统计学意义(P＜0.05).术后42例随访6～ 12个月,平均9个月.MIPPO组骨性愈合时间平均(11.6±1.6)周,ORIF组平均(13.0±2.1)周,两组差异有统计学意义(P＜0.05).功能评定按照Neer肩关节评分标准,MIPPO组总体优良率为91.7％,ORIF组总体优良率为86.7％,两组差异均无统计学意义(P＞0.05).结论经皮锁定钢板内固定较切开复位重建钢板内固定治疗锁骨骨折具有术中出血少、住院时间短、手术创伤小、骨折愈合快、功能恢复好的优点.
목적 평개미창경피쇄정강판내고정(MIPPO)여절개복위중건강판내고정(ORIF)량충방법치료쇄골골절적료효.방법 2011년1월지2012년6월,대42례쇄골골절환자,분별채용MIPPO화ORIF량충방법치료,관찰술중출혈량、수술시간、주원시간、술후병발증발생솔이급골절유합시간、견관절공능(Neer평분),병진행대비연구.결과 량조적수술시간、술후병발증발생솔비교,차이균무통계학의의(P＞0.05)；술중출혈량、주원시간비교,차이유통계학의의(P＜0.05).술후42례수방6～ 12개월,평균9개월.MIPPO조골성유합시간평균(11.6±1.6)주,ORIF조평균(13.0±2.1)주,량조차이유통계학의의(P＜0.05).공능평정안조Neer견관절평분표준,MIPPO조총체우량솔위91.7％,ORIF조총체우량솔위86.7％,량조차이균무통계학의의(P＞0.05).결론 경피쇄정강판내고정교절개복위중건강판내고정치료쇄골골절구유술중출혈소、주원시간단、수술창상소、골절유합쾌、공능회복호적우점.
Objective To evaluate two different methods for the treatment of clavicle fractures:minimally invasive pereutaneous plate osteosynthesis (MIPPO) and open reduction and internal fixation (ORIF).Methods From January 2011 to June 2012,42 cases of clavicle fractures were treated with two different fixation methods,MIPPO or ORIF.Intraoperative blood loss,operative time,hospital stay,the incidence of postoperative complications,as well as fracture healing time and shoulder joint function (Neer score) were compared between the MIPPO group and ORIF group.Results The difference in operative time and the incidence of postoperative complications was not statistically significant between the two groups (P ＞ 0.05).There were significant differences in blood loss and hospital stay (P ＜ 0.05).The follow-up of 6 to 12 months (average,9 months) revealed (11.6± 1.6) weeks average bone healing time in MIPPO group and (13.0±2.1) weeks in ORIF.The difference was statistically significant (P ＜ 0.05).Shoulder joint function,assessed by Neer scoring criteria,was good in 91.7％ of the MIPPO group and good in 86.7％ of the ORIF group.The difference was not significant (P ＞ 0.05).Conclusion Compared to ORIF,MIPPO of clavicle fractures has such advantages as less blood loss,minor trauma,shorter postoperative hospital stay,and quicker fracture healing,and good functional recovery