Zeng Jinyuan, Ye Junjian, Xie Yun, Chen Chunyong, Lin Zhangxiong
Department of Orthopedic Trauma, the First Affiliated Hospital of Fujian Medical University, Fuzhou Fujian, 350005, P.R.China.
Department of Orthopedic Trauma, the First Affiliated Hospital of Fujian Medical University, Fuzhou Fujian, 350005,
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 May 15;33(5):527-530. doi: 10.7507/1002-1892.201808113.
To investigate and evaluate the effectiveness of the distal radius microplate locking plate for the treatment of displaced fracture of medial clavicle.
Between January 2013 and June 2017, 18 cases of obvious displaced fracture of medial clavicle were treated with distal radius microlocking plate. There were 10 males and 8 females, with an average age of 51.4 years (range, 18-88 years). Causes of injury included traffic accident injury in 15 cases, heavy object injury in 3 cases; all of them were closed injury. According to Edinburgh classification, 15 cases were ⅠB1 type and 3 cases were ⅠB2 type. Fracture displacement was 12-21 mm (mean, 16.3 mm). The time from injury to operation was 3-7 days (mean, 4.3 days). After operation, the clinical healing and complications of fracture were observed, and shoulder function was evaluated according to Rockwood's scoring criteria.
No incisional infection, neurovascular injury, or other early complications occurred. All 18 patients were followed up 8-15 months (mean, 12 months). All fractures reached clinical osseous union, and the healing time was 8-24 weeks (mean, 16.6 weeks). Postoperative plate loosening occurred in 1 case, which was removed surgically, while other patients did not suffer from complications such as bone nonunion, displacement, internal fixator loosening, and loss of reduction. At last follow-up, according to Rockwood's scoring criteria, the results were excellent in 12 cases and good in 6 cases.
The distal radius microplate locking plate is effective for the treatment of displaced medial clavicle fracture, which has few complications, and is feasible for early functional exercise, and is helpful for the recovery of shoulder joint function.
探讨和评估桡骨远端微型锁定钢板治疗锁骨中段移位骨折的有效性。
2013年1月至2017年6月，对18例锁骨中段明显移位骨折患者采用桡骨远端微型锁定钢板治疗。其中男性10例，女性8例，平均年龄51.4岁（18 - 88岁）。致伤原因包括交通事故伤15例，重物砸伤3例；均为闭合性损伤。按Edinburgh分类，ⅠB1型15例，ⅠB2型3例。骨折移位12 - 21 mm（平均16.3 mm）。受伤至手术时间3 - 7天（平均4.3天）。术后观察骨折的临床愈合情况及并发症，并根据Rockwood评分标准评估肩关节功能。
未发生切口感染、神经血管损伤或其他早期并发症。18例患者均获随访，随访时间8 - 15个月（平均12个月）。所有骨折均达到临床骨性愈合，愈合时间8 - 24周（平均16.6周）。1例术后出现钢板松动，行手术取出，其余患者未发生骨不连、移位、内固定松动及复位丢失等并发症。末次随访时，根据Rockwood评分标准，优12例，良6例。
桡骨远端微型锁定钢板治疗锁骨中段移位骨折疗效确切，并发症少，早期功能锻炼可行，有助于肩关节功能恢复。
