Liu Zhi-Qing, Zhang Ming-Shi, Zhou Zi-Fei, Zhang Lei, Zheng Long-Po
Department of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China.
Front Surg. 2023 Feb 6;10:1100720. doi: 10.3389/fsurg.2023.1100720. eCollection 2023.
Recently, a locking plate (LP) combined with a suture button was applied for distal clavicle Neer type IIb fractures. However, to our knowledge, there is limited information on clinical outcomes surrounding locking plates combined with a suture button in the treatment of Neer type IIb distal clavicle fractures. The aim of this study was to compare the outcomes among three different fixation techniques for the treatment of Neer type IIb distal clavicle fractures.
We performed a retrospective cohort study of 53 patients with Neer type IIb distal clavicle fractures who were treated with a hook plate (HP group, 16 patients), a locking plate alone (LP group, 18 patients), or a locking plate with a suture button (LPSB group, 19 patients) in our hospital between March 2014 and August 2019. The clinical and radiological outcomes were evaluated, including union time, postoperative complications, and function of the shoulder joint.
The follow-up period was at least 2 years for all patients. All patients in the LPSB group achieved bone healing at the final follow-up. No significant differences were observed, including age, sex, side, time to surgery, duration of surgery, and mean follow-up period among the three groups ( > 0.05). The union time was shorter in the LPSB group than in the other two groups ( < 0.05). Postoperative complications were lower in the LPSB group than in the other two groups ( < 0.05). The visual analog scale score and Constant-Murley score in the LPSB group were better than those in the other groups at 3 and 6 months postoperatively ( < 0.05).
Compared with HP and LP alone, LPSB yields better clinical outcomes and lower complication rates in the treatment of Neer type IIb distal clavicle fractures.
最近，一种锁定钢板（LP）联合缝合纽扣被应用于治疗锁骨远端Neer IIb型骨折。然而，据我们所知，关于锁定钢板联合缝合纽扣治疗Neer IIb型锁骨远端骨折的临床结果的信息有限。本研究的目的是比较三种不同固定技术治疗Neer IIb型锁骨远端骨折的疗效。
我们对2014年3月至2019年8月在我院接受治疗的53例Neer IIb型锁骨远端骨折患者进行了一项回顾性队列研究，这些患者分别接受了钩钢板治疗（HP组，16例患者）、单纯锁定钢板治疗（LP组，18例患者）或锁定钢板联合缝合纽扣治疗（LPSB组，19例患者）。评估了临床和放射学结果，包括愈合时间、术后并发症和肩关节功能。
所有患者的随访期至少为2年。LPSB组的所有患者在末次随访时均实现了骨愈合。三组之间在年龄、性别、患侧、手术时间、手术时长和平均随访期方面均未观察到显著差异（P>0.05）。LPSB组的愈合时间比其他两组短（P<0.05）。LPSB组的术后并发症比其他两组少（P<0.05）。LPSB组术后3个月和6个月时的视觉模拟量表评分和Constant-Murley评分均优于其他组（P<0.05）。
与单纯HP和LP相比，LPSB在治疗Neer IIb型锁骨远端骨折方面具有更好的临床结果和更低的并发症发生率。
