Chalidis Byron, Sachinis Nick, Samoladas Efthimios, Dimitriou Christos, Christodoulou Anastasios, Pournaras John
1st Orthopaedic Department of Aristotle University of Thessaloniki, Greece.
Acta Orthop Belg. 2008 Jun;74(3):303-7.
The purpose of this study was to evaluate the long-term results after acute treatment of clavicle fractures. We reviewed 139 patients with an average age of 39.3 years (range: 18 to 74) who sustained a clavicle fracture either isolated or as part of a polytrauma. Besides demographic data, both clinical result and residual symptoms were also recorded. The average follow-up was 7.2 years (range: 4 to 13). The fracture showed a higher prevalence in young men and older women. The most frequent mechanism of injury was a fall (39.6%) and coexisting injuries were found in 12.9% of patients. Conservatively treated fractures united in 96.9% of cases and the time to union was no different with a sling or figure-of-eight bandage. Fracture location did not influence the functional outcome. One third of patients were still complaining of mild pain and discomfort during overhead activities and polytrauma patients had a lower Constant score.
本研究的目的是评估锁骨骨折急性治疗后的长期结果。我们回顾了139例平均年龄为39.3岁（范围：18至74岁）的患者，这些患者发生了孤立性锁骨骨折或作为多发伤的一部分。除人口统计学数据外，还记录了临床结果和残留症状。平均随访时间为7.2年（范围：4至13年）。骨折在年轻男性和老年女性中更为常见。最常见的受伤机制是跌倒（39.6%），12.9%的患者存在合并伤。保守治疗的骨折在96.9%的病例中愈合，使用吊带或8字绷带时愈合时间无差异。骨折部位不影响功能结果。三分之一的患者在进行上肢过头活动时仍抱怨有轻微疼痛和不适，多发伤患者的Constant评分较低。
