Palarcík J
Research Institute of Traumatology and Special Surgery, Brno.
Czech Med. 1991;14(3):184-90.
The author submits an analysis of a group of casualties with clavicular fractures treated in the Traumatological Research Institute in Brno in 1986. Based on the analysis, recommendations were adopted for the surgical treatment and for increased attention to the termination of conservative treatment. As a control, a group of patients with clavicular fractures treated in 1989 was analyzed. The assembled results are discussed and the conclusion is reached that predominantly conservative treatment of clavicular fractures is still indicated. No other method of immobilization gives better results than mere suspension of the extremity. In a certain percentage of injured patients subjective complaints typical for the healing of the fracture persist. The period of work incapacity must be assessed individually.
作者提交了一份对1986年在布尔诺创伤研究所接受治疗的一组锁骨骨折伤员的分析报告。基于该分析,针对手术治疗以及加强对保守治疗终止环节的关注提出了建议。作为对照,对1989年接受治疗的一组锁骨骨折患者进行了分析。对汇总结果进行了讨论,并得出结论:锁骨骨折仍主要采用保守治疗。没有其他固定方法比单纯悬吊上肢能取得更好的效果。在一定比例的受伤患者中,骨折愈合的典型主观症状仍然存在。工作能力丧失的时间必须个别评估。