Analysis of the clinical efficacy of lag screw in the fixation of oblique midshaft clavicle fracture

中华手外科杂志 Pub Date : 2019-04-10 DOI:10.3760/CMA.J.ISSN.1005-054X.2019.02.002

Liu Changqing, Qin Shao, Chen-song Yang, Jianrui Li, Yue Zhang, Ai Changqing

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Abstract

Objective To analyze and compare the clinical efficacy of lag screws in the fixation of oblique midshaft clavicle fracture. Methods From January 2013 to August 2017, 78 cases of oblique midshaft clavicle fracture were treated. There were 37 cases in group A treated with lag screws combined with locking plate and 41 cases in group B treated with locking plate. The intraoperative conditions, blood loss, intraoperative fluoroscopy time, fracture healing time, clinical efficacy and complications of the two groups were compared and analyzed. Results There was no significant difference in blood loss and bone healing time between the two groups (P>0.05). There was no significant difference in DASH score and Constant-Murley score at 6 and 12 months after the operation between the two groups (P>0.05). The time of operation and fluoroscopy were significantly different (P 0.05). Conclusion The patients performed oblique midshaft clavicle fracture fixation without lag screws can still achieve good clinical results in terms of healing time and functional recovery after the operation. Key words: Clavicle; Fractures,bone; Lag screw; Oblique fracture

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拉力螺钉固定锁骨斜中轴骨折的临床疗效分析

目的分析比较拉力螺钉固定锁骨中段斜骨折的临床疗效。方法2013年1月至2017年8月收治锁骨中段斜向骨折78例。A组37例采用拉力螺钉加锁定钢板治疗，B组41例采用锁定钢板治疗。比较分析两组患者的术中情况、失血量、术中透视时间、骨折愈合时间、临床疗效及并发症。结果两组患者的失血量和骨愈合时间无显著性差异（P>0.05），术后6个月和12个月DASH评分和Constant Murley评分无显著性差别（P>0.05）不使用拉力螺钉的骨折内固定在术后愈合时间和功能恢复方面仍能取得良好的临床效果。关键词：Clavicle；骨折，骨；拉力螺钉；斜性骨折

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中华手外科杂志

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