西安交通大学学报（医学版）2025，Vol.46Issue(3)：511-516,6.DOI:10.7652/jdyxb202503019
MIPPO结合间接复位与微笑切口治疗锁骨骨折:功能恢复与美容效果对比研究
MIPPO combined with indirect reduction and smile incision for clavicle fractures:a comparative study on functional recovery and cosmetic outcomes
摘要
Abstract
Objective To compare the smile incision combined with indirect reduction technique with traditional ORIF technique and systematically evaluate the advantages of this innovative surgical method in terms of functional recovery and postoperative cosmetic effects.Methods A total of 60 patients with midshaft clavicle fractures were enrolled between October 2022 and August 2024.The patients were randomly assigned to either ORIF group(open reduction and internal fixation,n=30)or MIPPO group(MIPPO combined with smile incision,n=30).Outcomes assessed included surgical trauma,functional recovery,and cosmetic outcomes.Results The MIPPO group exhibited significantly reduced intraoperative blood loss[(32.9±7.6)mL vs.(90.2±14.0)mL,P＜0.05],shorter incision length[(3.0±0.5)cm vs.(8.5±1.2)cm,P＜0.05],and reduced operative time compared to the ORIF group.Functional recovery indicators such as bone healing time[(10.1±1.7)weeks vs.(12.8±2.0)weeks,P＜0.05],initial and complete self-care time,and weight-bearing recovery were all significantly improved in the MIPPO group.The Constant-Murley score was higher in the MIPPO group(91.5±5.1 vs.82.4±6.0,P＜0.05).Cosmetic outcomes also favored the MIPPO group,with a superior SBSES score(9.2±0.4 vs.3.0±0.7,P＜0.05)and better results in scar visibility,pigmentation,thickness,and elasticity.Conclusion The smile incision combined with indirect reduction technique significantly reduces surgical trauma,accelerates postoperative recovery,and provides substantially better cosmetic outcomes compared to conventional methods,making it particularly suitable for patients with high aesthetic expectations.关键词
锁骨骨折/微创钢板内固定术(MIPPO)/间接复位技术/顺皮纹切口Key words
clavicle fracture/minimally invasive plate osteosynthesis(MIPPO)/indirect reduction technique/smile incision分类
医药卫生引用本文复制引用
屈立安,赵晓明,李萌,姬文晨,刘凯,张银钢..MIPPO结合间接复位与微笑切口治疗锁骨骨折:功能恢复与美容效果对比研究[J].西安交通大学学报（医学版）,2025,46(3):511-516,6.基金项目
陕西省重点研发项目资助(No.2023-YBSF-341)Supported by the Shaanxi Provincial Key Research and Development Program(No.2023-YBSF-341) （No.2023-YBSF-341）
