摘要
Abstract
Objective:To investigate the effect of anatomic locking plate and suture anchor fixation in the treatment of Neer Ⅱb distal clavicle fracture.Method:The study subjects were selected as 106 patients with NeerⅡb distal clavicle fracture admitted to the Department of Orthopedics of the First Affiliated Hospital of Jinzhou Medical University from June 2022 to May 2024,and they were divided into the observation group and the control group with 53 patients in each group according to the different treatment methods.The control group was treated with suture anchor fixation,and the observation group was treated with anatomic locking plate internal fixation.The healing,Three-dimensional morphology of acromioclavicular joint,degree of pain,swelling and complications were compared between the two groups.Result:Before surgery,there were no significant differences between the two groups in Constant-Murley score(CMS),Three-dimensional morphology of acromioclavicular joint,visual analog scale(VAS)score and degree of swelling score in affected areas before surgery(P>0.05).After surgery,the coracoclavicular distance,acromioclavicular distance,VAS scores and swelling scores of the affected area were all decreased in both groups,and those of the observation group were lower than those of the control group,the CMS,forward flexion and external rotation activity were improved in both groups,and those of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The observation group had a shorter fracture healing time compared to the control group,with a statistically significant difference(P<0.05).There was no significant difference in the total incidence of complications such as delayed healing,incision infection and periacromial pain between the two groups(P>0.05).Conclusion:The application of anatomic locking plate in the treatment of Neer Ⅱb distal clavicular fracture can effectively promote fracture healing,improve shoulder joint function,correct the three-dimensional shape of acromioclavicular joint,relieve the pain and swelling of the affected area,and is safer than suture anchor fixation.关键词
Neer Ⅱb型锁骨远端骨折/缝合锚钉固定术/解剖锁定钢板内固定术/肩锁关节三维形态Key words
Neer Ⅱb distal clavicle fracture/Suture anchor fixation/Anatomic locking plate internal fixation/Three-dimensional morphology of acromioclavicular joint
