形状记忆合金环抱器和重建钢板治疗锁骨粉碎性骨折对比研究

Comparative study for shape memory alloy embracing and reconstruction plate for comminuted clavicular treatment

目的比较形状记忆合金抱骨器和重建钢板治疗锁骨粉碎性骨折的临床疗效。方法 46例锁骨粉碎性骨折随机分为A组22例采用形状记忆合金环抱器固定,B组24例采用重建钢板固定。记录所有病例手术时间及术后住院时间,术后随访根据术后X线片及肩关节功能恢复情况评定疗效。结果形状记忆合金环抱器组比重建钢板组手术时间显著缩短(P<0.05),2组术后住院时间差异无统计学意义(P>0.05)。术后随访结果形状记忆合金环抱器组优16例,良5例,可1例;重建钢板组优17例,良4例,可1例,差1例。结论形状记忆合金环抱器是治疗锁骨粉碎性骨折的有效方法,且具有手术时间短,创伤小等优点。

Objective To compare the shape memory alloy have bone and reconstruction plate for the treatment of comminuted fracture of the clavicle clinical efficacy.Methods46 cases of clavicle comminuted fracture were randomly divided into A group of 22 cases of the use of shape memory alloy embracing fixed,B group of 24 cases use reconstruction plate.Records of all cases of operative time and pestoperative hospital stay,postoperative follow-up X-ray film in accordance with postoperative functional recovery and shoulder evaluated.ResultsShape memory alloy have bone group than the reconstruction plate group significantly shorter operative time（P0.05）,postoperative hospital stay were not significantly different（P0.05）.Postoperative follow-up results of shape memory alloy have excellent bone group 16 cases,good in 5 cases,1 case;reconstruction plate group 17 cases of excellent,good in 4 cases,1 case and poor in 1 case.Conclusionshape memory alloy have comminuted clavicle bone is effective treatment methods,and has short operation time,trauma,etc.