The Effect of 15 ° "Hook Plate Angle" Clavicle Hook Steel Plate Internal Fixation on Postoperative Pain and Treatment Outcomes in Patients with Distal Clavicle Fractures
HUANG Fei, MA Yongcheng
Department of Orthopedics,Xiangcheng East Hospital,Zhoukou Henan 466200
Abstract：【Objective】To investigate the effect of 15 ° "hook plate angle" clavicle hook plate internal fixation on postoperative pain and treatment outcomes in patients with distal clavicle fractures. 【Methods】A retrospective analysis was conducted on the clinical data of 93 patients with distal clavicle fractures admitted to our hospital from January 2016 to February 2021. Among them, 46 patients were treated with 0 ° "hook plate angle" clavicle hook plate internal fixation (control group), and 47 patients were treated with 15 ° "hook plate angle" clavicle hook plate internal fixation (observation group). The surgical conditions, fracture healing, postoperative complications, visual analogue scale (VAS) scores before and after surgery, shoulder joint function, reduction effect, and anatomical structure recovery of the acromioclavicular joint were compared between the two groups. 【Results】There was no statistically significant difference (P>0.05) in the surgical time, intraoperative blood loss, and fracture healing time between the two groups. The VAS scores of the observation group were lower than those of the control group at 1, 3, and 6 months after surgery (P<0.05). The Constant Murley score, Neer score, and UCLA shoulder joint scoring system score of the observation group were all higher than those of the control group at 12 months after surgery (P<0.05). There was no statistically significant difference (P>0.05) in the postoperative reduction effect between the two groups, as well as in the beak lock distance, flexion range of motion, and external rotation range of motion 12 months after surgery. There was no statistically significant difference in the total incidence of complications between the two groups (P>0.05). 【Conclusion】Compared with traditional 0 ° "hook plate angle" clavicle hook plate internal fixation, the use of 15 ° "hook plate angle" clavicle hook plate internal fixation for patients with distal clavicle fractures during internal fixation surgery can reduce postoperative pain and promote shoulder joint function recovery.
[1] DE RUITER K J, GARDENBROEK T J, BOS K, et al. Bipolar clavicular fractures and treatment options[J].Eur J Trauma Emerg Surg,2021, 47(5):1407-1410.
[2] ZHANG S J, ZHANG H J, WANG J B, et al. Triple-endobutton and clavicular hook: a propensity score matching analysis[J].Open Med (Wars),2021, 16(1):1328-1335.
[3] 许勇, 周荣华, 余勤武, 等. 两种不同内固定方式治疗锁骨骨折的疗效分析[J].临床外科杂志, 2012, 20(10):751-752.
[4] 李光辉. 15°“钩板角”锁骨钩钢板治疗肩锁关节脱位的相关研究[D]. 广东:南方医科大学, 2019.
[5] SUNG Y T, WU J S. The visual analogue scale for rating, ranking and paired-comparison (VAS-RRP): a new technique for psychological measurement[J].Behav Res Methods,2018, 50(4):1694-1715.
[6] VROTSOU K, AVILA M, MACHON M, et al. Constant-murley score: systematic review and standardized evaluation in different shoulder pathologies[J].Qual Life Res,2018, 27(9):2217-2226.
[7] XIONG J, CHEN J H, DANG Y, et al. Treatment of unstable distal clavicle fractures (Neer type Ⅱ): a comparison of three internal fixation methods[J].J Int Med Res,2018, 46(11):4678-4683.
[8] MOORTHY V, CHEN J Y, LEE M, et al. The UCLA shoulder score is a better predictor of treatment success than the constant and oxford shoulder scores after arthroscopic rotator cuff repair: a 2-year follow-up study[J].Arthrosc Sports Med Rehabil,2021, 3(2):485-490.
[9] KIM D W, KIM D H, KIM B S, et al. Current concepts for classification and treatment of distal clavicle fractures[J].Clin Orthop Surg,2020, 12(2):135-144.
[10] 杨琨, 费晨, 王鹏飞, 等. 自体或同种异体肌腱重建喙锁韧带与锁骨钩钢板治疗肩锁关节脱位效果的Meta分析[J].中国组织工程研究, 2021, 25(28):4580-4586.
[11] 闫晨晨, 曹发奇, 米博斌, 等. 锁骨解剖钢板与锁骨钩钢板治疗锁骨远端骨折疗效分析[J].临床外科杂志, 2021, 29(4):328-331.
2024, Vol. 41 
