一种用于纠正锁骨中段骨折后畸形愈合的简单手术技术。
A simple surgical technique for correcting malunion after midshaft clavicle fracture.
作者信息
van Essen Tom, Hillen Robert Jan
机构信息
Department of Orthopedic Surgery, Dijklander Ziekenhuis, Noord-Holland, The Netherlands.
出版信息
Shoulder Elbow. 2021 Aug;13(4):459-463. doi: 10.1177/1758573220933247. Epub 2020 Jul 1.
Abstract
Clavicle malunion occurs in two-thirds of all clavicle fractures treated conservatively. It can lead to pain, shoulder dysfunction and cosmetic complaints. Surgical treatment of all midshaft fractures will lead to overtreatment, as not all malunions are symptomatic. In the past, several treatment modalities for correcting malunion of the clavicle have been described, and all have been successful but none have shown superiority. This article describes a new surgical technique with excising a wedge to realign the clavicle malunion.
摘要
三分之二接受保守治疗的锁骨骨折会发生骨不连。它可导致疼痛、肩部功能障碍和外观问题。对所有中段骨折进行手术治疗会导致过度治疗，因为并非所有骨不连都有症状。过去，已经描述了几种矫正锁骨骨不连的治疗方法，所有方法都取得了成功，但没有一种显示出优越性。本文描述了一种新的手术技术，即切除一个楔形骨块来重新矫正锁骨骨不连。
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