锁骨中段骨不连的手术治疗
Operative treatment of mid-shaft clavicular non-union.
作者信息
Marti R K, Nolte P A, Kerkhoffs G M M J, Besselaar P P, Schaap G R
机构信息
Department of Orthopaedics, Academic Medical Centre, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
出版信息
Int Orthop. 2003;27(3):131-5. doi: 10.1007/s00264-002-0424-7. Epub 2003 Jan 28.
Abstract
Between 1974 and 1999, we treated operatively 28 patients with a symptomatic mid-shaft clavicular non-union using AO osteosynthesis, including bone grafting. Nine patients had a wave-plate osteosynthesis and 19 a standard AO/ASIF osteosynthesis. The mean follow-up was 10 (2-25) years. All but one non-union showed full bony consolidation. Pre-operatively, brachialgia was present in 12 patients. Of these patients, six were treated using standard osteosynthesis technique and six by wave-plate osteosynthesis. Post-operatively, patients treated by wave-plate osteosynthesis had no brachialgia and also had a higher Constant score than those patients treated using standard AO/ASIF techniques.
摘要
1974年至1999年间，我们采用AO接骨术（包括植骨）对28例有症状的锁骨中段骨不连患者进行了手术治疗。9例采用波形钢板接骨术，19例采用标准AO/ASIF接骨术。平均随访时间为10（2 - 25）年。除1例骨不连外，其余均实现了完全骨愈合。术前，12例患者存在臂痛。其中，6例采用标准接骨术治疗，6例采用波形钢板接骨术治疗。术后，采用波形钢板接骨术治疗的患者无臂痛，且Constant评分高于采用标准AO/ASIF技术治疗的患者。
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