Département for Orthopaedic Sports Medicine, Hospital rechts der Isar, Technical University Munich, Munich, Germany.
J Shoulder Elbow Surg. 2013 Jun;22(6):862-8. doi: 10.1016/j.jse.2013.01.022. Epub 2013 Apr 4.
Clavicle fractures are common injuries of the shoulder girdle and occasionally result in nonunion or symptomatic malunion. When present, these chronic injuries can result in considerable shoulder dysfunction. A number of surgical techniques have been described for the management of these injuries. Current literature suggests that supplemental bone grafting may not be necessary in all cases but should be considered in the setting of atrophic nonunion. However, optimal treatment is controversial, as discussed in the literature. This article highlights the current treatment options based on the existing literature and describes our preferred techniques.
We carried out a comprehensive review of the PubMed and Medline databases using multiple keywords (eg, clavicle fracture, clavicle nonunion, and clavicle malunion) to identify the relevant literature regarding this topic. Reference lists of the relevant articles were reviewed for additional important articles.
Nonunion and malunion of the clavicle remain challenging problems. Reliable bony union and improved shoulder function can be expected with thoughtful surgical planning, appropriate implant choice, and meticulous surgical technique.
锁骨骨折是肩带常见的损伤，偶尔会导致骨不连或有症状的畸形愈合。当这些慢性损伤存在时，会导致相当大的肩部功能障碍。已经描述了许多用于治疗这些损伤的手术技术。目前的文献表明，并非所有情况下都需要补充植骨，但在萎缩性骨不连的情况下应考虑植骨。然而，正如文献中所讨论的，最佳治疗方法存在争议。本文根据现有文献强调了当前的治疗选择，并描述了我们首选的技术。
我们使用多个关键字（例如锁骨骨折、锁骨骨不连和锁骨畸形愈合）对 PubMed 和 Medline 数据库进行了全面审查，以确定有关该主题的相关文献。还查阅了相关文章的参考文献列表，以获取其他重要文章。
锁骨骨不连和畸形愈合仍然是具有挑战性的问题。通过深思熟虑的手术计划、适当的植入物选择和精细的手术技术，可以预期可靠的骨愈合和改善的肩部功能。
