采用预塑形锁定钢板对锁骨中段移位骨折进行内固定。
Internal fixation of displaced middle third fractures of clavicle with precontoured locking plate.
作者信息
Hundekar Babu B
机构信息
Department of Orthopedics, Sushruta Multispeciality Hospital, Vidyanagar, Hubli 580021, Karnataka, India.
出版信息
J Orthop. 2013 May 15;10(2):79-85. doi: 10.1016/j.jor.2013.04.003. eCollection 2013.
BACKGROUND
The traditional method of treating displaced mid clavicular fractures with conservative methods gives poor results. When there is displacement more than 2 cm and shortening, internal fixation of the clavicle, when performed properly, gives better results.
METHODS
We reviewed the results of 20 cases of middle third clavicle fractures (Edinburg type 2B) with displacement more than 2 cm which were treated with open reduction and internal fixation with precontoured locking plate and screws.
RESULTS
In all the fractures radiological union was evident by 10-16 weeks. None of the patients had complications like malunion, nonunion, deep infections, and implant failure and neurovascular damage. There was no problem with hardware and implant removal was not done. The average constant score was 95.45. All the patients were satisfied with the cosmetic appearance of surgical scar.
CONCLUSIONS
Precontoured locking plate fixation gives excellent results, facilitates early return to function, results in better cosmesis and avoids complications of conservative methods like nonunion, malunion and also implant removal is not necessary.
背景
采用保守方法治疗移位的锁骨中段骨折，效果欠佳。当移位超过2厘米且存在短缩时，正确实施锁骨内固定可取得更好的效果。
方法
我们回顾了20例锁骨中1/3骨折（爱丁堡2B型）且移位超过2厘米的病例，这些病例均采用预塑形锁定钢板和螺钉进行切开复位内固定治疗。
结果
所有骨折在10至16周时均可见明显的影像学骨愈合。无一例患者出现骨不连、畸形愈合、深部感染、内植物失败及神经血管损伤等并发症。内固定物无问题，无需取出。平均Constant评分95.45。所有患者对手术瘢痕的外观均感满意。
结论
预塑形锁定钢板固定效果极佳，有助于早期恢复功能，美观效果更佳，且避免了保守方法的并发症，如骨不连、畸形愈合，同时也无需取出内固定物。
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