| Objective:To explore and analyze the effect of sterno-lock plate and other internal fixation methods in the treatment of proximal clavicle fracture or sternocleidal joint dislocation under the guidance of dynamic and static theory,in order to provide assistance for clinical treatment.Method:Forty-eight patients who underwent open reduction and internal fixation for the treatment of proximal clavicle fracture or sterno-articular dislocation with open reduction and internal fixation were selected from January 2016 to September 2018.They were divided into thoracic hook plate treatment group(observation group)and other internal fixation methods.Treatment group(control group).Among them,21 patients in the observation group and 23 patients in the control group.The postoperative function was evaluated by Neer’s shoulder function.The two groups underwent functional exercise under the guidance of dynamic and static theory.The healing of the knife edge,the fracture healing status,the recovery of shoulder function and No postoperative complications(such as pain)occur.Results:After 6 months of follow-up,the Neer shoulder function score in the chest-locked plate treatment group(observation group)was better than other internal fixation methods(control group)in the short-term(1-3 months aftersurgery),P<0.05.The difference was statistically significant.There was no difference in shoulder function score between the two groups at 6 months after operation,P>0.05.Conclusion:The sterno-lock plate is a fixed and stable method for the treatment of proximal clavicle fracture or sternocleidal joint dislocation compared with other internal fixations.It has low risk and conforms to the biomechanics of sterno-lock joint.Active functional exercise can recover faster and better in a short time.Due to the limited number of clinical cases in this study,the follow-up data is still not perfect,and there are many problems to be further studied. |
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