Poigenfürst J, Reiler T, Fischer W
Unfallkrankenhaus Lorenz Böhler der AUVA, Wien.
Unfallchirurgie. 1988 Feb;14(1):26-37.
In two trauma units 63 patients with 65 fresh fractures of the clavicle were treated by plating, applying strict indications for the selection of the patients for surgery. The straight reconstruction plate 3.5, DCP 2.7 and in very slim clavicles the straight reconstruction plate 2.7 proved to be the most useful implants. With correct indication and good operative technique plating leads nearly always to healing in anatomic position with good functional results. The course of 60 fractures could be analysed. 57 patients with 58 fractures were followed. One polytraumatised woman with bilateral fractures died. Seven complications with negative influence on the result were observed: four pseudarthroses following loosening, bending or breaking of the plate, three refractures after removal of the plate. There was no infection. That means, that technical complications with bad results occurred in about 1/10 of the operations. All seven were multiple fragment fractures in the middle of the clavicular shaft. It therefore seems that complications could be avoided by using a different technique or a different implant.
在两个创伤科，对63例患有65处新鲜锁骨骨折的患者进行了钢板固定治疗，对患者的手术选择采用严格的指征。3.5的直形重建钢板、2.7的动力加压钢板（DCP）以及在非常纤细的锁骨中使用的2.7直形重建钢板被证明是最有用的植入物。在有正确指征和良好手术技术的情况下，钢板固定几乎总能使骨折在解剖位置愈合，并取得良好的功能效果。可以对60处骨折的病程进行分析。对57例患者的58处骨折进行了随访。一名患有双侧骨折的多发伤女性死亡。观察到7例对结果有负面影响的并发症：4例因钢板松动、弯曲或断裂导致的假关节形成，3例钢板取出后的再骨折。没有感染发生。这意味着，约1/10的手术出现了导致不良结果的技术并发症。所有7例均为锁骨中段的多段骨折。因此，似乎通过使用不同的技术或不同的植入物可以避免并发症。
