Chen Michael J, Salazar Brett P, Bishop Julius A, Gardner Michael J
Department of Orthopaedic Surgery, Stanford University Medical Center, Redwood City, CA.
OTA Int. 2020 Aug 14;3(3):e078. doi: 10.1097/OI9.0000000000000078. eCollection 2020 Sep.
Contemporary methods for open reduction and internal fixation of displaced distal clavicle fractures have excellent rates of union and high rates of reoperation for symptomatic implant removal. The authors describe their preferred surgical technique and case series of patients with Neer Type-II and -V distal clavicle fractures treated with lower profile dual mini-fragment plates using interdigitating screws placed into the distal segment to enhance fixation.
当代用于移位性锁骨远端骨折切开复位内固定的方法具有良好的愈合率，且因有症状的植入物取出而进行再次手术的比例较高。作者描述了他们首选的手术技术以及一系列病例，这些病例为采用较低外形的双微型接骨板治疗的Neer II型和V型锁骨远端骨折患者，术中使用交叉螺钉置入远端骨段以加强固定。
