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Neer IIB型锁骨远端骨折的联合骨韧带重建技术的临床疗效

Clinical outcomes of a combined osteoligamentous reconstruction technique of Neer Type IIB distal clavicle fractures.

作者信息

Perskin Cody R, Tejwani Nirmal C, Jazrawi Laith M, Leucht Philipp, Egol Kenneth A

机构信息

NYU Langone Orthopedic Hospital, 301 E 17th Street, New York, NY, 10010, United States.

出版信息

J Orthop. 2021 May 10;25:134-139. doi: 10.1016/j.jor.2021.05.010. eCollection 2021 May-Jun.

Abstract

PURPOSE

To evaluate outcomes for a combined osteoligamentous reconstruction technique for Neer Type IIB clavicle fractures.

METHODS

Patients with Neer Type IIB clavicle fractures treated with combined clavicular locking plate and coracoclavicular ligament suture reconstruction were identified. Demographics, clinical outcomes, and radiographic outcomes were collected.

RESULTS

Twenty-four patients with mean 13 months of follow-up were included. Bony union and normal radiographic coracoclavicular relationship were achieved in 23 (96%) patients. The mean UCLA Shoulder score was 33.3. Three (13%) complications occurred.

DISCUSSION

The combined osteoligamentous reconstruction approach as described is a successful option for treating Neer Type IIB clavicle fractures.

摘要

目的

评估一种用于治疗Neer IIB型锁骨骨折的联合骨韧带重建技术的疗效。

方法

确定采用锁骨锁定钢板联合喙锁韧带缝合重建治疗的Neer IIB型锁骨骨折患者。收集人口统计学资料、临床疗效和影像学结果。

结果

纳入24例患者,平均随访13个月。23例(96%)患者实现了骨愈合且影像学显示喙锁关系正常。UCLA肩关节评分平均为33.3分。发生了3例(13%)并发症。

讨论

所述的联合骨韧带重建方法是治疗Neer IIB型锁骨骨折的一种成功选择。

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Clinical outcomes of a combined osteoligamentous reconstruction technique of Neer Type IIB distal clavicle fractures.
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引用本文的文献

本文引用的文献

1
Current Concepts for Classification and Treatment of Distal Clavicle Fractures.
Clin Orthop Surg. 2020 Jun;12(2):135-144. doi: 10.4055/cios20010. Epub 2020 May 14.
3
Complications after surgical treatment of distal clavicle fractures.
Orthop Traumatol Surg Res. 2019 Sep;105(5):853-859. doi: 10.1016/j.otsr.2019.03.012. Epub 2019 Jun 13.
5
Complications with the clavicle hook plate after fixation of Neer type II clavicle fractures.
Int Orthop. 2019 Jul;43(7):1701-1708. doi: 10.1007/s00264-018-4108-3. Epub 2018 Aug 16.
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Comparing the coracoclavicular loop technique with a hook plate for the treatment of distal clavicle fractures.
J Shoulder Elbow Surg. 2018 Feb;27(2):224-230. doi: 10.1016/j.jse.2017.08.017. Epub 2017 Oct 18.
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Treatment of Neer IIb Distal Clavicle Fractures Using Anatomical Locked Plate Fixation With Coracoclavicular Ligament Augmentation.
J Hand Surg Am. 2017 Dec;42(12):1036.e1-1036.e6. doi: 10.1016/j.jhsa.2017.08.005. Epub 2017 Sep 18.
9
Comparative analysis of locking plate versus hook plate osteosynthesis of Neer type IIB lateral clavicle fractures.
Arch Orthop Trauma Surg. 2017 May;137(5):651-662. doi: 10.1007/s00402-017-2645-7. Epub 2017 Mar 20.
10
Coracoclavicular stabilization using a suture button device for Neer type IIB lateral clavicle fractures.
J Shoulder Elbow Surg. 2017 May;26(5):804-808. doi: 10.1016/j.jse.2016.09.048. Epub 2016 Nov 30.

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