桡骨远端锁定板治疗胸锁关节脱位

Treatment of Sternoclavicular Joint Dislocation with Distal Radius Locking Plate

目的探讨胸锁关节脱位予以桡骨远端锁定板治疗的临床意义。方法方便选取2015年6月—2016年8月该院收治的128例胸锁关节脱位患者为研究对象,按照完全随机、平均原则,分为两组。对照组采取克氏针张力带内固定,予以观察组桡骨远端锁定板治疗。观察两组愈合时间、生活质量、肩关节功能以及不良事件发生情况。结果观察组治疗后生活质量为(84.52±3.21)分,愈合时间为(14.79±1.28)周,与对照组相比对照组更优(P<0.05);治疗后,观察组肩关节功能明显优于对照组,观察组优概率(26.87%)与良概率(37.50%)对比,差异有统计学意义(P<0.05);观察组不良事件发生概率(6.25%)相比对照组,差异无统计学意义(P>0.05)。结论胸锁关节脱位予以桡骨远端锁定板,效果确切,可有效控制病情,缓解患者痛苦。

Objective This paper tries to investigate the treatment of sternoclavicular joint dislocation with distal radius locking plate. Methods 128 cases with acromioclavicular joint dislocation from June 2015 to August 2016 in this hospital were conveniently selected and randomly and equally divided into two groups, with 64 patients in each group. The control group received Kirschner wire tension band fixation, and the observation group was treated with distal radius locking plate.The healing time, quality of life, shoulder function and adverse events were observed in the two groups. Results In the observation group after treatment, the quality of life score was（84.52±3.21）points, healing time was（14.79±1.28）weeks, better than the control group（P〈0.05）; after treatment, the shoulder function of the observation group was significantly better than that of the control group, the excellent probability of the observation group was 26.87% and the good probability rate was 37.50%,and the difference was significant（P〈0.05）. The probability of occurrence of adverse events in the observation group was6.25%, not significantly different from that in the control group（P〉0.05）. Conclusion The locking plate of the distal radius of the acromioclavicular joint dislocation is effective and can effectively control the condition and relieve the pain of the patient.