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J Surg Orthop Adv. 2013 Spring;22(1):77-81. doi: 10.3113/jsoa.2013.0077.
4
Systematic review of complications after intramedullary fixation for displaced midshaft clavicle fractures.经髓内固定治疗移位的锁骨中段骨折后并发症的系统评价。
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6
Reconstruction plate versus minimal invasive retrograde titanium elastic nail fixation for displaced midclavicular fractures.重建钢板与微创逆行钛弹性钉内固定治疗移位性锁骨中段骨折。
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Midshaft clavicular fractures: comparison of intramedullary pin and plate fixation.锁骨中段骨折：髓内钉与钢板内固定的比较。
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Retrospective comparison of titanium elastic nail (TEN) and reconstruction plate repair of displaced midshaft clavicular fractures.钛弹性钉（TEN）与重建钢板修复移位锁骨中段骨折的回顾性比较。
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10
Plating versus intramedullary pin or conservative treatment for midshaft fracture of clavicle: a meta-analysis of randomized controlled trials.钢板与髓内钉或保守治疗治疗锁骨中段骨折的比较：一项随机对照试验的荟萃分析。
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闭合复位与切开复位髓内钉固定治疗锁骨中段移位骨折。这有区别吗？

Closed vs open nailing for displaced middle third fracture of clavicle. Does it matter?

作者信息

Saraf Hrushikesh, Kasture Sarang

机构信息

Shashwat Hospital, Kothrud, Pune, Maharashtra, India.

Department of Orthopaedics, MIMER Medical College, Talegaon Dabhade, Pune, India.

出版信息

J Clin Orthop Trauma. 2016 Oct-Dec;7(Suppl 2):161-165. doi: 10.1016/j.jcot.2016.08.005. Epub 2016 Oct 13.

DOI:10.1016/j.jcot.2016.08.005
PMID:28053379
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5197057/
Abstract

BACKGROUND

Intramedullary nailing for fractures of middle third clavicle has become increasingly popular. Though open nailing has been widely described, closed nailing finds less mention.

OBJECTIVES

In this study we compared closed nailing with open nailing in fractures of middle third of clavicle to assess if the former holds any advantage.

MATERIAL AND METHODS

34 patients with closed nailing were compared to 31 patients with open nailing in terms of operative time, length of incision, pain, time to union and functional outcome.

RESULTS

Only operative time and length of incision were significantly more in open group than in closed group.

DISCUSSION

We believe that closed reduction can be attempted in all patients undergoing nailing for middle third clavicle fracture but surgeon should have a low threshold to open the fracture if closed reduction fails as functional outcome and time to union remains unaffected.

摘要

背景

髓内钉治疗锁骨中1/3骨折越来越普遍。虽然切开置钉已有广泛报道，但闭合置钉的报道较少。

目的

本研究比较锁骨中1/3骨折闭合置钉与切开置钉，以评估前者是否具有优势。

材料与方法

比较34例闭合置钉患者与31例切开置钉患者的手术时间、切口长度、疼痛程度、骨折愈合时间及功能结果。

结果

仅切开组的手术时间和切口长度显著长于闭合组。

讨论

我们认为，所有接受锁骨中1/3骨折髓内钉治疗的患者都可尝试闭合复位，但如果闭合复位失败，外科医生应降低切开复位的阈值，因为功能结果和骨折愈合时间不受影响。