新型双Endobutton袢钢板联合关节镜治疗锁骨远端Neer ⅡB型骨折的临床分析

目的探讨新型双Endobutton袢钢板联合关节镜治疗锁骨远端Neer ⅡB型骨折的临床疗效分析。方法回顾性追踪40例锁骨远端Neer ⅡB型骨折分别行新型双Endobutton袢钢板(A组)和锁骨钩钢板(B组)固定的患者,各20人;并在术前、术后用Constant-Murley Score(CMS)和VAS评分;并客观测量其手术切口和术中出血量。结果 (1)A组、B组切口长度和术中出血量分别为:(2.99±0.71)cm、(6.10±0.98)cm(P0.05);(53.50±4.82)ml、(95.50±6.69)ml(P0.05);(2)CMS两组对比,术后1月A组优于B组且P0.05,其余各时间段P0.05;VAS评分两组术后1月和1年对比A组优于B组且P0.05,术前和术后6月P0.05。结论新型双袢钢板治疗锁骨远端Neer Ⅱ型骨折,具有切口短、出血量少,有利于早期的肩关节功能锻炼并且避免二次手术,是一种比较好的临床术式。

A novel double-endobutton device assisted shoulder arthroscopy in treating Neer type IIB distal clavicle fracture

Objective The aim of this study was to assess the effect of a novel double-endobutton device assisted arthroscopy in treating Neer type IIB distal clavicle fractures. Methods We retrospectively analysized 40 patients with Neer type IIB distal clavicle fractures .They were randomly divided into 2 groups: one was the novel double-endobutton group (A, 20 patients), the other hook plate group (B, 20 patients). The measurement of CMS, VAS scores and incision length, blood loss were employed to assess the outcome of two groups. Result (1) The specific values were as follows: incision length:(2.99±0.71) cm, (6.10±0.98) cm (P<0.05); the blood loss: (53.50±4.82) ml, (95.50±6.69) ml (P<0.05); (2) For CMS part, the A group was significantly better than group B 1 month after surgery (P<0.05); compared with group B, the post-op 1 month and 1 year VAS Scores were significantly better (P<0.05), the preoperative and 6 months were with no statistical difference. Conclusion The novel double-endobutton device assisted arthroscopy in treating Neer type IIB distal clavicle fractures is a minimally invasive strategy with better clinical outcomes, which has lots of advantages including a short incision, less bleeding, lower cost, early functional exercise and without a secondoperation.