Effectiveness analysis of treatment of comminuted clavicular fracture with coracoclavicular ligament injury by plate internal fixation and artificial ligament repair / 国际外科学杂志

ABSTRACT

Objective To compare and analyze the clinical effect of two different surgical treatment of comminuted fracture of clavicle fracture combined with coracoclavicular ligament injury by internal fixation and artificial ligament repair.Methods Eighty-four patients with comminuted clavicle fracture and coracoclavicular ligament injury who were admitted to the Department of Acute Traumatic Surgery,Dongfeng General Hospital Affiliated to Hubei University of Medicine from February 2015 to February 2016 were selected as the experimental subjects by prospective research methods.The patients were divided into two groups according to the random number table primciple.The 42 cases in the control group were treated with clavicular plate,while the other 42 cases in the observation group were treated with artificial ligament.The clinical effects of the two surgical methods were evaluated according to the operation time,intraoperative blood loss,fracture healing time,hospitalization time,functional score and the incidence of postoperative complications.Measurement data were expressed as ((x) ± s).Comparison between groups using t test.Counting data were expressed as percentage (％) and compared by Chi-square.Results After operation,the operation time,intraoperative blood loss,fracture healing time and hospital stay in the observation group were (37.5 ± 22.0) minutes,(101.2 ± 24.1) ml,(11.2 ± 3.1) months and (19.4 ± 6.1) days,respectively.In control group,there were (53.5 ± 35.4) minutes,(200.1 ± 55.3) ml,(18.4 ± 7.8) months and (32.4 ± 7.2) days,respectively.The difference was statistically significant (P ＜ 0.05).The functional scores of two groups of patients were compared,the observation group was significantly better than the control group,the difference was statistically significant (P ＜ 0.05).The two groups of patients with complications were compared,the incidence of the observation group was 4.8％,while in the control group was 21.4％,the observation group was significantly lower than the control group,the difference was statistically significant (P ＜ 0.05).Conclusion The application of artificial ligament surgical treatment to patients with comminuted clavicle fracture and coracoclavicular ligament injury has the advantages of simple operation and good therapeutic effect,which is conducive to the recovery of shoulder joint function and less postoperative complications,which is worthy of clinical application.