吴门医派可塑性夹板与钢板内固定治疗RobinsonⅡB型锁骨中段骨折的临床效果

doi:10.20047/j.issn1673-7210.2022.30.20

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Abstract Objective To compare the clinical effect of Wu Men Medical school’s plastic splint and plate internal fixation in the treatment of Robinson ⅡB middle clavicle fractures. Methods A retrospective analysis was performed on 67 patients with Robinson ⅡB middle clavicle fractures admitted to Suzhou Traditional Chinese Medicine Hospital from October 2019 to November 2020. The patients were divided into Robinson ⅡB1 and Robinson ⅡB2, and the number of patients with the two types of fractures was comprehensively compared. A total of 35 cases of Robinson ⅡB1 and 32 cases of Robinson ⅡB2 were selected according to the proportion, and the patients were divided into plastic splint group and plate internal fixation group by drawing lots. The plastic splint group of 32 cases was treated with manual reduction and plastic splint; the plate internal fixation group of 35 cases was treated with open reduction and internal fixation. The Constant-Murley shoulder joint score, appearance satisfaction, and complication rate were compared between the two groups after 1, 3, and 9 months of treatment, and the efficacy was evaluated. Results All patients were followed up for 9 to 12 months, with an average of (10.82±2.06) months. There was no significant difference in the treatment effect between the two groups (P ＞ 0.05). There were statistically significant differences of the Constant-Murley shoulder joint score between the two groups, time point comparison and interaction comparison (P ＜ 0.05). Further pair-wise comparison: within-group comparison, the Constant-Murley shoulder joint scores of the two groups after 1, 3, and 9 months of treatment were higher than those before treatment, and the differences were statistically significant (P ＜ 0.05). Compared between groups, the Constant-Murley shoulder joint scores in the plate internal fixation group were higher than those in the plastic splint group after 1 and 3 months of treatment, and the differences were statistically significant (P ＜ 0.05). There was no significant difference in the Constant-Murley shoulder joint score between the two groups after 9 months of treatment (P ＞ 0.05). The appearance satisfaction of the plastic splint group was better than that of the steel plate internal fixation group, and the difference was statistically significant (P ＜ 0.05). There was no significant difference in the incidence of complications between the two groups (P ＞ 0.05). Conclusion Wu Men Medical school plastic splint has certain advantages over plate internal fixation in the treatment of Robinson ⅡB middle clavicle fractures compared with plate internal fixation, and can be used as a clinical treatment option. The use of internal fixation therapy should be based on the patient’s own conditions and wishes to comprehensively formulate standards.

Key words： Middle clavicular fracture Bone setting manipulation Plastic splint Surgery Robinson typing

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	ZHU Xingtao1 SUN Yitao1 JIANG Hong2 LIU Jintao2

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ZHU Xingtao1 SUN Yitao1 JIANG Hong2 LIU Jintao2. Clinical effect of Wu Men Medical school plastic splint and plate internal fixation in the treatment of Robinson type ⅡB middle clavicle fractures[J]. 中国医药导报, 2022, 19(30): 92-95,111.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.30.20 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I30/92

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