Al-Sadek Tabet A, Niklev Desislav, Al-Sadek Ahmed
Department of Orthopaedics and Traumatology, Belhoul European Hospital, Dubai, United Arab Emirates.
Trakia University, Faculty of Medicine, Stara Zagora, Bulgaria.
Open Access Maced J Med Sci. 2016 Dec 15;4(4):647-649. doi: 10.3889/oamjms.2016.136. Epub 2016 Nov 22.
Fractures of the clavicle are one of the most common fractures in modern orthopaedics and traumatology practice. Knowing the mechanism of trauma, and it's pathophysiological elements, it's clear distinction and it's individual features are essential to the development of more new and effective methods for their treatment, and the minimising of postoperative complications.
The aim of this paper was to present the results of our patients treated with minimally invasive plate osteosynthesis (MIPO).
Between January 2011 and March 2013, 12 patients were treated with MIPO technique. The mean age was 47.5 years (range, 16-79 years). Outcomes and complications of clinical treatment were reviewed.
All fractures healed within a mean period of 4.9 months (range, 2-10 months). Regarding complications, there was no occurrence of implant failure or deep infection. There were no nonunions, but one 79-year-old man had a delayed union. Almost of all the cases didn't need bending of the plate. Seven plates were removed by their hopes. And there weren't any cases that required new incisions.
A pre-contoured plate anatomically configured to fit the clavicle was easier to apply. MIPO technique for midshaft clavicle fractures may be a good option.
锁骨骨折是现代骨科和创伤外科实践中最常见的骨折之一。了解创伤机制、其病理生理因素、明确的区分及其个体特征对于开发更新、更有效的治疗方法以及将术后并发症降至最低至关重要。
本文的目的是展示我们采用微创钢板接骨术（MIPO）治疗患者的结果。
2011年1月至2013年3月期间，12例患者接受了MIPO技术治疗。平均年龄为47.5岁（范围16 - 79岁）。回顾了临床治疗的结果和并发症。
所有骨折均在平均4.9个月（范围2 - 10个月）内愈合。关于并发症，未发生植入物失败或深部感染。没有骨不连，但一名79岁男性出现了延迟愈合。几乎所有病例都不需要弯曲钢板。七块钢板按预期取出。并且没有任何病例需要重新切开。
解剖学上适配锁骨的预塑形钢板更易于应用。MIPO技术治疗锁骨中段骨折可能是一个不错的选择。
