采用锁定 T 板和附加 PDS 缝线环扎治疗不稳定型远端锁骨骨折（Neer 2 型）。
Treatment for unstable distal clavicle fractures (Neer 2) with locking T-plate and additional PDS cerclage.
机构信息
Clinic for Trauma Surgery, University Hospital Rechts der Isar, Technical University Munich, Ismaninger Str. 22, 81675, Munich, Germany.
出版信息
Knee Surg Sports Traumatol Arthrosc. 2013 May;21(5):1189-94. doi: 10.1007/s00167-012-2089-0. Epub 2012 Jul 1.
PURPOSE
The purpose of the current study was to assess the clinical and radiological results after locking T-plate osteosynthesis with coracoclavicular augmentation of unstable and displaced distal clavicle fractures (Neer type 2).
METHODS
Thirty patients, treated between January 2007 and January 2010 were followed up after a median follow-up time of 12.2 months (range 4.7-37.2). The Constant and DASH scores were used to evaluate the clinical outcome, and anterior-posterior and 30° cephalic view radiographs were performed to assess the bony healing.
RESULTS
In all patients, the fracture healing was achieved within the first 10 weeks after surgery. All patients regained good or excellent shoulder function and returned to previous occupation and activity levels. The mean Constant and DASH scores were 92.3 points and 6.2 points, respectively. We did not observe any severe intra- or post-operative complication within the time of follow-up.
CONCLUSION
The presented technique turned out to be a reliable method providing good results without showing severe complications.
LEVEL OF EVIDENCE
Case series, Level IV.
目的
本研究旨在评估锁定 T 型板骨内固定联合喙锁间固定治疗不稳定和移位的锁骨远端骨折（Neer 2 型）的临床和影像学结果。
方法
2007 年 1 月至 2010 年 1 月期间，我们对 30 例患者进行了随访，平均随访时间为 12.2 个月（范围为 4.7-37.2 个月）。采用 Constant 和 DASH 评分评估临床结果，行前后位和 30°头位 X 线片评估骨愈合情况。
结果
所有患者术后 10 周内均达到骨折愈合。所有患者均恢复了良好或优秀的肩部功能，并恢复到以前的职业和活动水平。平均 Constant 和 DASH 评分为 92.3 分和 6.2 分。在随访期间，我们未观察到任何严重的围手术期并发症。
结论
该技术是一种可靠的方法，结果良好，无严重并发症。
证据水平
病例系列，IV 级。
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