Annicchiarico Nicola, Latta Arturo, Santolini Emmanuele
Orthopedics and Trauma Unit, Ospedale Moriggia-Pelascini, Via Moriggia Pelascini, 3, 22015 Gravedona - CO, Italy.
Academic Unit of Trauma and Orthopaedics, University of Genoa, Ospedale Policlinico San Martino, Largo R. Benzi 10 - 16132, Genoa, Italy.
Injury. 2023 Mar;54 Suppl 1:S53-S57. doi: 10.1016/j.injury.2020.10.085. Epub 2020 Oct 31.
Over the last few years, treatment of mid-shaft clavicle fractures seems to have shifted from conservative to surgical. Our study reports the results of plate osteosynthesis of mid-shaft clavicle fractures and compares them with literature.
A retrospective cohort study was conducted on 32 patients with mid-shaft clavicle fractures treated with plate and screws between January 2009 and December 2014. All the patients followed the same post-operative rehabilitation program with radiographic and clinical evaluation (DASH score and Constant score) at a minimum follow-up of 24 months.
All the patients healed clinically and radiographically, without deformities or non-unions, with complete and early functional recovery and return to their pre-injury sport activities. At one year follow-up the mean Constant Score was 93.8 (SD 4.8) and the mean DASH score was 42 (SD 5.0).
Osteosynthesis with plate and screws of mid-shaft clavicle fractures allows not only restoration of the anatomy, but also early recovery of shoulder function. For this reason, such surgical treatment should always be considered when facing this particular fracture group, also in accordance with recent literature.
在过去几年中，锁骨中段骨折的治疗似乎已从保守治疗转向手术治疗。我们的研究报告了锁骨中段骨折钢板内固定的结果，并与文献进行了比较。
对2009年1月至2014年12月期间32例接受钢板螺钉治疗的锁骨中段骨折患者进行了一项回顾性队列研究。所有患者均遵循相同的术后康复计划，并在至少24个月的随访中进行影像学和临床评估（DASH评分和Constant评分）。
所有患者均获得临床和影像学愈合，无畸形或骨不连，功能完全且早期恢复，并恢复到受伤前的体育活动。在一年随访时，平均Constant评分为93.8（标准差4.8），平均DASH评分为42（标准差5.0）。
锁骨中段骨折的钢板螺钉内固定不仅能恢复解剖结构，还能使肩部功能早期恢复。因此，面对这一特定骨折组时，也应根据近期文献考虑这种手术治疗。
