目的:本研究旨在根据碎片数量评估与不同复杂性锁骨中段骨折的手术治疗相关的临床和手术结果的差异。此外,本调查旨在介绍在我们机构接受手术的一系列患者的结局.
方法:对2009年11月至2021年5月在我中心接受锁骨中段骨折手术的18岁以上患者的病历进行回顾性分析。根据骨折碎片的数量将患者分为两组,三,或三个以上的碎片。合并,移除植入物,并发症,手术时间,和功能结果(通过VAS评估,ASES,和Constant-Murley量表)对每个特定组和整个队列进行了评估。
结果:总计,对260例患者进行分析。除手术时间外,三组之间的任何参数均无显着差异。简单骨折比具有三个以上碎片的骨折短(68.2分钟vs.75.3分钟;p=0.01)。假关节炎发生率为2.69%,种植体去除率为9.61%,4.23%的患者出现了以前的并发症。功能结果非常好,ASES得分平均为97.3(72.7-100),常数分数为97.5(75-100),和0.6(0-8)在VAS上。
结论:根据我们的结果,单纯锁骨中段骨折和多段锁骨中段骨折的术后结果无差异.所有组的患者都报告了令人满意的结果。
OBJECTIVE: This study aims to assess differences in clinical and surgical outcomes associated with the surgical treatment of midshaft clavicle fractures of different complexities based on fragment number. Additionally, the investigation seeks to present the outcomes of a series of patients who underwent surgery at our institution.
METHODS: A retrospective analysis was conducted on the medical records of patients aged over 18 who underwent midshaft clavicle fracture surgery at our center from November 2009 to May 2021. Patients were categorized based on the number of fracture fragments into groups of two, three, or more than three fragments. Consolidation, implant removal, complications, surgical duration, and functional outcomes (assessed through VAS, ASES, and Constant-Murley scale) were evaluated for each specific group and for the overall cohort.
RESULTS: In total, 260 patients were analyzed. There were no significant differences in any of the parameters between the three groups except for surgical time, which was shorter in simple fractures than in those with more than three fragments (68.2 min vs. 75.3 min; p = 0.01). Pseudoarthrosis rate was 2.69%, implant removal rate was 9.61%, and 4.23% of patients presented with complications other than the previous ones. Functional results were excellent, with averages of 97.3 (72.7-100) for the ASES score, 97.5 (75-100) for the Constant score, and 0.6 (0-8) on the VAS.
CONCLUSIONS: According to our results, there were no differences in postoperative results between simple and multifragmentary midshaft clavicle fractures. Patients across all groups reported satisfactory results.