Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Orthopedic Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea.
Orthop Traumatol Surg Res. 2021 Dec;107(8):103091. doi: 10.1016/j.otsr.2021.103091. Epub 2021 Sep 30.
Historically, cerclage wires were not used in the treatment of clavicle fractures because of their invasiveness. The purpose of this study was to evaluate the radiologic results and the incidence of complications following cerclage wire application and plate fixation in the treatment of comminuted mid-shaft clavicle fractures.
A total of 116 patients with comminuted mid-shaft clavicle fractures who underwent open reduction and internal fixation were reviewed. We analyzed the postoperative length ratio and bone union period according to the fracture classification, patient age, the number of fragments and the number of applied wires. The thickness of the fracture site was compared with the normal contralateral clavicle shaft.
Bone union was confirmed in all enrolled patients at an average of 14.9±4.67 weeks. There are no significant differences in the length ratio or bone union period among the subgroups (including the fracture types, age, number of fragments and applied wires). The diameter at the occupied area was not significantly from that on the normal side (p=.505).
The application of a single cerclage or multiple cerclage wires around the fracture site did not hamper the clavicle shaft fracture healing. This result suggests that cerclage wires should not be avoided, but can be used as a viable treatment option for clavicle shaft fractures.
IV.
传统上，由于锁骨骨折内固定术的侵袭性，我们不会使用环形钢丝。本研究旨在评估环形钢丝应用和钢板固定治疗粉碎性锁骨中段骨折的放射学结果和并发症发生率。
共回顾了 116 例接受切开复位内固定治疗的粉碎性锁骨中段骨折患者。我们根据骨折分类、患者年龄、骨折块数量和应用钢丝数量分析术后长度比和骨愈合时间。比较骨折部位的厚度与正常对侧锁骨骨干。
所有入组患者的平均骨愈合时间为 14.9±4.67 周。各组（包括骨折类型、年龄、骨折块数量和应用钢丝数量）的长度比和骨愈合时间无显著差异。占区直径与正常侧无显著差异（p=.505）。
在骨折部位周围应用单根或多根环形钢丝不会妨碍锁骨骨干骨折愈合。该结果表明，环形钢丝不应被回避，而可以作为锁骨骨干骨折的一种可行治疗选择。
IV 级。
