Charity R M, Haidar S G, Ghosh S, Tillu A B
Department of Trauma and Orthopaedics, City Hospital, Birmingham, United Kingdom.
J Orthop Surg (Hong Kong). 2006 Dec;14(3):333-5. doi: 10.1177/230949900601400320.
Open reduction and internal fixation for unstable fractures of the lateral end of the clavicle (Neer type II) is not complication-free. Most clavicle fractures can be successfully treated by conservative methods. Neer type II fractures have a reportedly high rate of nonunion, therefore internal fixation is recommended. However, the need for surgical treatment remains controversial as nonunion seldom produces a poor functional outcome. We report 3 cases of fixation failure following treatment with a clavicular hook plate. None of the patients required re-fixation surgery and all achieved bony union with a good functional result.
锁骨外侧端不稳定骨折（Neer II型）的切开复位内固定并非没有并发症。大多数锁骨骨折可通过保守方法成功治疗。据报道，Neer II型骨折的不愈合率很高，因此建议进行内固定。然而，由于不愈合很少导致功能预后不良，手术治疗的必要性仍存在争议。我们报告3例采用锁骨钩钢板治疗后固定失败的病例。所有患者均无需再次固定手术，均实现了骨愈合，功能结果良好。
