Jubel A, Andermahr J, Prokop A, Lee J I, Schiffer G, Rehm K E
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universität Köln.
Unfallchirurg. 2005 Sep;108(9):707-14. doi: 10.1007/s00113-005-0970-8.
The aim of this prospective study was to compare the results achieved in two groups of patients treated for mid-clavicular fracture.
The first group of 27 patients was treated nonoperatively with a rucksack bandage, whereas the second group underwent intramedullary fixation with a titanium pin, using a minimally invasive technique. Within the follow-up period of 6 months, results were evaluated seven times.
During the whole period significantly (p<0.05) better results were observed in the group of operated patients concerning shoulder function, Constant score, DASH score, personal satisfaction, pain, and cosmetic result. In the second group return to work occurred in less than half the time of the first group.
Intramedullary nailing of mid-clavicular fractures is a safe and minimally invasive operation technique. Early functional and cosmetic results are not worse than results after nonoperative treatment with a rucksack bandage.
本前瞻性研究的目的是比较两组锁骨中段骨折患者的治疗结果。
第一组27例患者采用背包绷带非手术治疗，而第二组采用微创技术用钛针进行髓内固定。在6个月的随访期内，对结果进行了7次评估。
在整个期间，手术组在肩部功能、Constant评分、DASH评分、个人满意度、疼痛和美容效果方面观察到明显更好的结果（p<0.05）。第二组患者恢复工作的时间不到第一组的一半。
锁骨中段骨折的髓内钉固定是一种安全且微创的手术技术。早期的功能和美容效果并不比背包绷带非手术治疗的效果差。
