Department of Orthopaedic Surgery, the 175th Hospital of PLA (the Affiliated Southeast Hospital of Xiamen University), Orthopaedic Trauma Center of PLA, Zhangzhou, PR China.
Int J Med Sci. 2012;9(4):301-5. doi: 10.7150/ijms.4425. Epub 2012 Jun 6.
Between 2006 and 2009, 18 patients of distal clavicle fracture were treated with micro-movable and anatomical acromioclavicular plate (MAAP) in our department. According to the Neer's classification, all cases were unstable with type IIA (12 cases) and type IIB (6 cases). Functional outcome was evaluated using the Karlsson's criteria. The mean follow-up was 18 months (range, 12-36months). No postoperative plate screws complication was observed. Osseous union could be achieved at a mean time of 12 weeks after operation in 18 patients (range, 8 -16 weeks). According to Karlsson's criteria, radiographic appearances and postoperative shoulder functional recovery revealed a good and excellent rate in these cases. We conclude that surgical treatment using MAAP seems to be a good option for unstable type II fractures of the distal clavicle. This technique allows for reliable fixation with early functional exercises and functional recovery.
2006 年至 2009 年间，我科采用微移和解剖型肩锁关节钢板（MAAP）治疗了 18 例锁骨远端骨折患者。根据 Neer 分类，所有病例均为不稳定型，其中 IIA 型（12 例）和 IIB 型（6 例）。采用 Karlsson 标准评估功能结果。平均随访时间为 18 个月（范围，12-36 个月）。术后未观察到钢板螺钉并发症。18 例患者术后 12 周（范围，8-16 周）平均达到骨性愈合。根据 Karlsson 标准，这些病例的影像学表现和术后肩关节功能恢复显示出良好和优秀的比例。我们得出结论，采用 MAAP 的手术治疗似乎是不稳定型 II 型锁骨远端骨折的一种较好选择。这种技术可以进行可靠的固定，并早期进行功能锻炼和功能恢复。
