背景:本研究的目的是探讨使用正交桥系统(OBS)的新型髓内固定技术治疗锁骨中段骨折的疗效。
方法:本研究共纳入63例患者:35例接受钢板内固定(LP组),28例接受OBS髓内固定(OBS组)。手术时间,术中失血,切口长度,骨折愈合时间,去除内固定剂,肩痛的视觉模拟量表(VAS)评分,比较两组患者Constant-Murley肩关节评分及并发症发生情况。
结果:术前一般数据,比如性,年龄和骨折类型,两组间差异无统计学意义(P>0.05)。然而,OBS组在手术时间方面表现出比LP组更好的结果,术中出血量和总切口长度(P<0.05)。此外,OBS组骨折愈合时间和内固定摘除时间明显短于LP组(P<0.05)。OBS组术后第1天、第1周、第1个月和第3个月的VAS评分均低于LP组(P<0.05)。此外,术后1、3、6个月时,OBS组的Constant-Murley肩关节评分均高于LP组(P<0.05),术后1年无显著性差异(P>0.05)。OBS组患者均未出现手术切口瘢痕,LP组6例患者出现手术切口瘢痕。最后,OBS组的并发症发生率低于LP组。
结论:对于锁骨中段骨折,OBS髓内固定比锁定钢板内固定更好,因为它导致更少的创伤。更快的恢复,更好的疗效,以及更好的美学效果和舒适度。因此,该技术作为锁骨中段骨折的新型治疗方法有潜力.
方法:III,回顾性观察性研究。
BACKGROUND: The aim of this study was to explore the efficacy of a novel intramedullary fixation technique using the ortho-bridge system (OBS) for midshaft clavicle fractures.
METHODS: A total of 63 patients were included in this study: 35 underwent plate internal fixation (LP group) and 28 underwent OBS intramedullary fixation (OBS group). Surgical time, intraoperative blood loss, incision length, fracture healing time, removal of the internal fixation agent, visual analog scale (VAS) score for shoulder pain, Constant-Murley shoulder score and complication occurrence were compared between the two groups.
RESULTS: Preoperative general data, such as sex, age and fracture type, were not significantly different between the two groups (P > 0.05). However, the OBS group exhibited better outcomes than the LP group exhibited in terms of surgical time, intraoperative blood loss and total incision length (P < 0.05). Additionally, the OBS group exhibited a significantly shorter fracture healing time and internal-fixation removal time than the LP group exhibited (P < 0.05). The VAS scores on postoperative day 1, week 1, month 1 and month 3 were lower in the OBS group than in the LP group (P < 0.05). Furthermore, the Constant-Murley shoulder scores at 1, 3, and 6 months postoperatively were higher in the OBS group than in the LP group (P < 0.05), with no significant difference at 1 year after surgery (P > 0.05). None of the patients in the OBS group experienced scarring of the surgical incision, and 6 patients in the LP group experienced scarring of the surgical incision. Finally, the complication incidence in the OBS group was lower than that in the LP group.
CONCLUSIONS: For midshaft clavicle fractures, OBS intramedullary fixation is better than locking-plate internal fixation because it led to less trauma, a faster recovery, better efficacy, and better esthetic outcomes and comfort. Therefore, this technique may have potential as a novel treatment for midshaft clavicle fractures.
METHODS: III, retrospective observational study.