Zhang Tao, Chen Wei, Sun Jiayuan, Zhang Qi, Zhang Yingze
Department of Orthpedic Surgery, The Third Hospital of Hebei Medical University, Line 1: No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
Int Orthop. 2017 Aug;41(8):1679-1683. doi: 10.1007/s00264-016-3392-z. Epub 2017 Jan 12.
This study aims to introduce a self-designed clavicle reductor and to test the effectivity of a alternative minimally invasive plate osteosynthesis technique (MIPO) for displaced midshaft clavicular fractures (DMCFs) with the application of our self-designed clavicle reductor.
From October 2012 to February 2013, 27 male patients who suffered with unilateral displaced midshaft clavicular fracture (DMCFs) were included into our study. Patients were treated by minimally invasive plate osteosynthesis (MIPO) technique with the application of our self-designed clavicle reductor and followed up regularly. Constant-Murley score was employed to test the functional outcomes at one year's follow up.
The average follow-up time for the 27 patients was 15.8 months (range, 13-18 months). The average age of all patients was 32.6 (range, 21 to 48). According to OTC system, 12 cases were simple fractures (15-B1), ten cases were wedge fractures (15-B2) and five cases were comminuted fractures (15-B3). With the application of the clavicle reductor, minimally invasive plate osteosynthesis technique can be performed without any barrier in all of the 27 cases. Operative duration was 48.1 minutes (range, 35-65 minutes) and average fluoroscopy time was 12.8 seconds (range, from 7 to 22 seconds). All of the 27 cases healed from four to six months post-operatively. The average Constant-Murley-score of the 27 patients was 92.7 ± 5.88 (range, 80 to 100). No complications were noted.
The self-designed clavicle reductor can effectively pave the way for the application of MIPO technique in the treatment of DMCFs. MIPO technique with locking reconstruction plate is a feasible and worthwhile alternative for displaced midshaft clavicular fractures (DMCFs).
本研究旨在介绍一种自行设计的锁骨复位器，并通过应用该自行设计的锁骨复位器来测试一种替代性微创钢板接骨术（MIPO）治疗中段锁骨移位骨折（DMCF）的有效性。
2012年10月至2013年2月，27例单侧中段锁骨移位骨折（DMCF）男性患者纳入本研究。患者采用应用自行设计的锁骨复位器的微创钢板接骨术（MIPO）技术进行治疗，并定期随访。采用Constant-Murley评分在随访1年时测试功能结果。
27例患者的平均随访时间为15.8个月（范围13 - 18个月）。所有患者的平均年龄为32.6岁（范围21至48岁）。根据OTC系统，12例为简单骨折（15 - B1），10例为楔形骨折（15 - B2），5例为粉碎性骨折（15 - B3）。通过应用锁骨复位器，27例患者均能顺利实施微创钢板接骨术。手术时间为48.1分钟（范围35 - 65分钟），平均透视时间为12.8秒（范围7至22秒）。27例患者均在术后4至6个月愈合。27例患者的平均Constant-Murley评分为92.7±5.88（范围80至100）。未观察到并发症。
自行设计的锁骨复位器能有效为MIPO技术应用于治疗中段锁骨移位骨折（DMCF）铺平道路。带锁定重建钢板的MIPO技术是治疗中段锁骨移位骨折（DMCF）一种可行且值得的替代方法。
