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| Analysis of the Curative Effect and Daily Living Standard of Closed Reduction Intramedullary Nail and Open Reduction Plate Fixation in the treatment of Middle Clavicular Fracture |
| LIU Gang |
| The Affiliated Hospital of Inner Mongolia Medical University, Neimeng Huhehaote 010020, China |
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Abstract Objective: To study and compare the clinical effect of closed reduction intramedullary nail and open reduction and plate fixation for the treatment of clavicular fracture. Methods: During January 2013 to July 2016, 100 cases of clavicle fracture patients who received in the hospital were selected and randomly divided into two groups by taking computer single blind randomized grouping method, 50 cases in each group. Group A was treated with closed reduction and intramedullary nail fixation. Group B was treated with open reduction and plate fixation. The operation, prognosis and quality of life were compared between two groups. Results: The intraoperative blood loss and operative time in group A were significantly less than group B (P<0.05), the fracture healing time was significantly shorter than group B (P<0.05); the complication rate in group A was higher than group B (P<0.05); after the operation, the CM score in two groups was significantly better than those before operation (P<0.05), and two groups after surgery had no significant difference (P>0.05). Conclusion: Closed reduction and intramedullary nail fixation and open reduction and plate fixation of clavicle can effectively improve shoulder joint function in patients with clavicle fractures, each has its advantages and disadvantages, clinicians should choose a fixed way according to the specific circumstances of patients.
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2018, Vol. 24 
