Sang Qing-Hua, Gou Zhi-Gang, Zheng Hua-Yong, Yuan Jing-Tao, Zhao Jian-Wen, He Hong-Ying, Liu Chuang, Liu Zhi
Department of Orthopedics, Beijing Army General Hospital, Beijing 100700, China.
Chin Med J (Engl). 2015 Nov 5;128(21):2946-51. doi: 10.4103/0366-6999.168068.
Through reviewing the relevant literature from the past decades, to summarize the assessment and management of fractures of the clavicle, and provide an overview of the clinical results of a range of treatment options.
The data analyzed in this review are mainly from articles included in PubMed and EMBASE, published from 1960 to 2015.
Studies involving assessment of fractures of the clavicle were reviewed. Further literatures were gathered regarding the conservative and surgical treatment of these fractures, including the methods of fixation and the surgical approaches used. Both conservative and surgical treatments were then compared and contrasted.
Through retrieving and reading the abstract, a total of 42 representative articles were selected, which covered all aspects of the conservative treatment and surgical treatment, and compared the advantages and disadvantages of different treatment options.
Although the majority of recent data suggest that surgery may be more appropriate as it improves functional outcome and reduces the risk of complications, we recommend that the treatment should be individually assessed.
通过回顾过去几十年的相关文献,总结锁骨骨折的评估与处理方法,并概述一系列治疗选择的临床结果。
本综述分析的数据主要来自1960年至2015年发表在PubMed和EMBASE上的文章。
对涉及锁骨骨折评估的研究进行综述。收集了关于这些骨折保守治疗和手术治疗的进一步文献,包括固定方法和所采用的手术入路。然后对保守治疗和手术治疗进行比较和对比。
通过检索和阅读摘要,共选择了42篇代表性文章,这些文章涵盖了保守治疗和手术治疗的各个方面,并比较了不同治疗选择的优缺点。
尽管最近的大多数数据表明手术可能更合适,因为它能改善功能结果并降低并发症风险,但我们建议应进行个体化评估。