Herbert中空螺钉内固定治疗锁骨中段骨折效果及对肩关节功能恢复的影响

Herbert Hollow Screw Internal Fixation for Treatment of Mid-clavicular Fractures and Its Effect on Patients’Shoulder Joint Function Recovery

目的:对比观察Herbert中空螺钉内固定与锁定解剖钢板内固定治疗锁骨中段骨折的临床效果。方法:选取2018年1月-2019年8月东莞市虎门镇南栅医院骨科接诊的92例锁骨中段骨折患者作为研究对象,采用数字表随机法分为Herbert组和锁定钢板组,各46例,比较两组相关手术指标;患者术后均随访6个月,观察两组肩关节功能恢复情况及术后并发症。结果:Herbert组手术时间为(42.97±5.39)min,术后住院时间为(4.38±1.21)d,均短于锁定钢板组的(51.42±7.63)min、(6.84±1.58)d,差异均有统计学意义(P<0.05);Herbert组手术切口长度为(3.95±0.57)cm,短于锁定钢板组的(9.02±1.14)cm,Herbert组手术出血量为(53.08±9.26)ml,少于锁定钢板组的(82.36±11.27)ml,差异均有统计学意义(P<0.05);两组术后6个月肩关节功能JOA评分及并发症发生率比较,差异无统计学意义(P>0.05)。结论:Herbert中空螺钉治疗锁骨中段骨折效果优于锁定解剖钢板内固定治疗。

Objective:To observe the effect of Herbert hollow screw and locking anatomical plate internal fixation in treatment of mid-clavicle fracture.Method:A total of 92 patients with mid-clavicular fractures admitted to Nanzha Hospital of Humen Town,Dongguan City from January 2018 to August 2019 were selected as the research subjects.The numbers were randomly divided into the Herbert group and the locking plate group,with 46 cases each.The operative indexes of the two groups were compared.Patients were followed up for 6 months after surgery to observe the recovery of shoulder joint function and postoperative complications in the two groups.Result:The operation time was(42.97±5.39)min,and postoperative hospital stay was(4.38±1.21)days in the Herbert group,shorter than(51.42±7.63)min and(6.84±1.58)days in the locking plate group,the differences were statistically significant(P<0.05).The length of the surgical incision in the Herbert group was(3.95±0.57)cm,shorter than(9.02±1.14)cm in the locking plate group,the surgical bleeding volume in the Herbert group was(53.08±9.26)ml,less than(82.36±11.27)ml in the locking plate group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the JOA score of shoulder joint function and the incidence of complications between the two groups of patients at 6 months after operation(P>0.05).Conclusion:Herbert hollow screw is better than locking anatomic plate internal fixation for middle clavicle fracture.