Orthopaedic Associates of Michigan, Grand Rapids, MI 49503, USA.
J Orthop Trauma. 2013 Mar;27(3):126-9. doi: 10.1097/BOT.0b013e318254883a.
To evaluate the outcome of operatively treated unstable displaced diaphyseal clavicle fractures with anterior-inferior 2.7-mm dynamic compression plate (DCP) fixation.
Retrospective review of clavicle fractures.
Level-1 trauma teaching center.
PATIENTS/PARTICIPANTS: One hundred twenty-nine clavicle fractures.
An anterior-inferior approach to clavicle fractures was used with the application of a 2.7-mm DCPs.
Radiographic assessment of healing and complication rates.
One hundred twenty-five fractures healed (97%). Postoperative complications included 1 superficial wound problem, 3 deep wound problems, 5 nonunions, and 4 prominent implants requiring removal in 3.
Anterior-inferior placement of 2.7-mm DCPs seems safe and is associated with minimal complications.
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
评估采用前下 2.7mm 动力加压接骨板（DCP）固定治疗不稳定移位的骨干锁骨骨折的疗效。
锁骨骨折的回顾性研究。
1 级创伤教学中心。
患者/参与者：129 例锁骨骨折。
采用前下入路治疗锁骨骨折，并应用 2.7mm DCP。
愈合和并发症发生率的影像学评估。
125 例骨折愈合（97%）。术后并发症包括 1 例浅表伤口问题、3 例深部伤口问题、5 例骨不连和 4 例突出的植入物，其中 3 例需要取出。
前下放置 2.7mm DCP 似乎是安全的，且并发症少。
治疗性 IV 级。欲了解完整的证据水平说明，请参见作者须知。
