A prospective comparison of shape memory alloy embracing fixator and reconstruction plate fixa-tion in treatment of midshaft clavicle fractures
10.3760/cma.j.issn.1001-8050.2010.01.021
- VernacularTitle:记忆合金环抱器与重建钢板内固定治疗锁骨中段骨折的前瞻性比较
- Author:
Guoxin QU
;
Genyuan CHEN
;
Xuanxi DING
;
Shouzheng LIU
- Publication Type:Journal Article
- Keywords:
Clavicle;
Fracture fixation,internal;
Shape memory alloy embracing fixator
- From:
Chinese Journal of Trauma
2010;26(1):64-68
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical outcome of shape memory alloy (SMA) embra-cing fixator and reconstruction plate fixation in treatment of displaced or comminuted midshaft clavicle fractures. Methods There were 65 patients with displaced or comminuted midshaft clavicle fractures surgically treated with either a SMA embracing fixator or a reconstruction plate. The patients were divided into two groups according to fixation methods, ie, SMA embracing fixator group (30 patients at average age of 28.1 years) and reconstruction plate group (35 patients at average age of 26.1 years). All pa-tients were followed up for mean 12 months and shoulder function was evaluated using shoulder score. Results Compared with reconstruction plate group, SMA embracing fixator had shorter operation time, smaller wound incision and less loss blood (all P < 0.05). However, there was no statistical difference in aspects of hospital stay, cost, JOA shoulder score and bone union rate between two groups (all P > 0.05). Conclusion The internal fixation with SMA embracing fixator is better than reconstruction plate fixation in treatment of midshaft clavicle fractures.
