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Journal of ZheJiang University(Medical Science)  2014, Vol. 43 Issue (5): 577-    DOI: 10.3785/j.issn.1008-9292.2014.09.014
    
Treatment of distal clavicle type Ⅱ fracture: suture anchor versus clavicular hook plate
LU Zhou, QIU Xiao-dong, REN Ya-chun, LUO Zhi-hang
Fuyang Hospital of Traumatology and Orthopedics of Traditional Chinese Medicine, Fuyang 311400, China
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Abstract  

Objective: To compare the efficacy of suture anchor with clavicular hook plate in treatment of type Ⅱfractures of the distal clavicle. Methods: Forty patients with Neer type Ⅱfractures of distal clavicle were treated in our hospital from May 2009 to May 2010, including 21 cases treated with suture anchors and 19 cases treated with clavicular hook plate. The time of fracture union and Constant-Murley scores were compared between two groups. Results: All incisions reached primary healing, and there was no infection or hematoma formation. Postoperative follow-up time was 12-24 months, mean 14.5 months. The mean time of fracture reunion in suture anchors group was 13.2± 2.0 weeks (9-17 weeks) and that in clavicular hook plate group was 13.3 ± 2.0 weeks (10-16 weeks, P>0.05). The mean postoperative Constant-Murley scores in suture anchors and hook plate groups were( 91.1 ± 6.5)% and (89.2 ± 7.6)%, respectively (P> 0.05). But the pain score in suture anchor group was higher than that in hook plate group (12.6±1.9 vs 11.3±2.3, P<0.05). Conclusion: Compared with claviculer hook plate, the suture anchor has good clinical results and less complications in treatment of type Ⅱfractures of distal clavicle.



Key wordsBone plates      Fractures, bone/surgery      Suture anchors      Fracture fixation, internal      Clavicle /injuries      Treatment outcome      Follow-up studies     
Received: 04 June 2014     
Corresponding Authors: LU Zhou, E-mail: 13968186969@163.com   
Cite this article:

LU Zhou, QIU Xiao-dong, REN Ya-chun, et al.. Treatment of distal clavicle type Ⅱ fracture: suture anchor versus clavicular hook plate. Journal of ZheJiang University(Medical Science), 2014, 43(5): 577-.

URL:

http://www.zjujournals.com/xueshu/med/10.3785/j.issn.1008-9292.2014.09.014     OR     http://www.zjujournals.com/xueshu/med/Y2014/V43/I5/577


缝合锚钉与锁骨钩钢板治疗Neer Ⅱ型锁骨远端骨折临床疗效比较

目的:通过采用缝合锚钉或锁骨钩钢板的方法治疗Neer Ⅱ型锁骨远端骨折,比较两者治疗效果。方法:收集2009年5月至2010年5月间在富阳市中医骨伤医院治疗的Neer Ⅱ型锁骨远端骨折患者40例。采用缝合锚钉治疗21例,其中男性11例,女性10例;年龄23~44岁,平均(33.2±1.5)岁,伤后至手术时间36~60 h,平均(48±7)h;锁骨钩钢板治疗19例,其中男性11例,女性8例;年龄22~46岁,平均(34.3±1.8)岁,伤后至手术时间36~60 h,平均(50±8)h。所有患者均为单侧闭合性损伤,损伤局部无皮肤破损,无合并血管、神经及其他部位损伤。比较两组患者的骨折愈合时间和Constant-Murley评分。结果:所有患者切口均获得Ⅰ期愈合,未发生切口感染和血肿形成。术后随访时间为12~24个月,中位数15个月。缝合锚钉组骨折愈合时间为9~17周,平均(13.2±2.0)周;锁骨钩钢板组骨折愈合时间为10~16周,平均(13.3±2.0)周;术后Constant-Murley总评分缝合锚钉组为78~100分,平均(91.1±6.5)分;锁骨钩钢板组为76~100分,平均(89.2±7.6)分。两组患者骨折愈合时间、ConstantMurley总评分和各项定量分数(除疼痛评分外)的差异均无统计学意义(均P> 0.05),缝合锚钉组的疼痛评分优于锁骨钩钢板组(12.6±1.9与11.3±2.3,P<0.05)。结论:缝合锚钉治疗Neer Ⅱ型锁骨远端骨折临床疗效良好,并发症少,是一种可供选择的理想方法。


关键词: 骨板,  骨折/外科学,  缝合锚,  骨折固定术,  内,  锁骨/损伤,  治疗结果,  随访研究 
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