Hoogervorst Paul, van Schie Peter, van den Bekerom Michel Pj
OLVG Amsterdam, Department of Orthopaedics and Traumatology, Amsterdam.
EFORT Open Rev. 2018 Jun 20;3(6):374-380. doi: 10.1302/2058-5241.3.170033. eCollection 2018 Jun.
Clavicle fractures are common fractures and the optimal treatment strategy remains debatable. The present paper reviews the available literature and current concepts in the management of displaced and/or shortened midshaft clavicle fractures.Operative treatment leads to improved short-term functional outcomes, increased patient satisfaction, an earlier return to sports and lower rates of non-union compared with conservative treatment. In terms of cost-effectiveness, operative treatment also seems to be advantageous.However, operative treatment is associated with an increased risk of complications and re-operations, while long-term shoulder functional outcomes are similar.The optimal treatment strategy should be one tailor-made to the patient and his/her specific needs and expectations by utilizing a shared decision-making model. Cite this article: 2018;3:374-380. DOI: 10.1302/2058-5241.3.170033.
锁骨骨折是常见骨折，最佳治疗策略仍存在争议。本文回顾了关于移位和/或缩短的锁骨中段骨折治疗的现有文献及当前理念。与保守治疗相比，手术治疗可带来更好的短期功能结果、更高的患者满意度、更早恢复运动以及更低的不愈合率。在成本效益方面，手术治疗似乎也具有优势。然而，手术治疗会增加并发症和再次手术的风险，而长期肩部功能结果相似。最佳治疗策略应是通过采用共同决策模型，根据患者及其特定需求和期望量身定制。引用本文：2018;3:374 - 380。DOI: 10.1302/2058 - 5241.3.170033。
