Cárdenas G
Unidad de Cirugía de Hombro, Departamento de Traumatología y Ortopedia, Instituto de Seguridad del Trabajo (IST), Viña del Mar, Chile.
Acta Ortop Mex. 2021 Sep-Oct;35(5):479-485.
Surgical management of displaced midshaft clavicular fractures has gained popularity in the last decade due to reductions in functional recovery times and lower rates of nonunion. However, several complications related to the open approach have been described and remain concerning for patients. These potential sequelae include scar pain, local irritation, peri-incisional numbness, and cosmetic deformity, all of which may contribute to unsatisfactory subjective outcomes. Recently, minimally invasive plate osteosynthesis (MIPO) technique has been described for the treatment of these fractures. This approach presents the opportunity to reduce shortcomings of the traditional open approach while maintaining its benefits, respecting the biological healing environment and preserving blood supply to the fracture site. The purpose of this study is to provide a step-by-step description of the MIPO surgical technique for management of displaced midshaft clavicular fractures and report the clinical outcomes of a case series using this technique.
在过去十年中，由于功能恢复时间缩短和骨不连发生率降低，移位型锁骨中段骨折的手术治疗越来越受到欢迎。然而，与开放手术入路相关的几种并发症已被描述，并且仍然是患者关注的问题。这些潜在的后遗症包括瘢痕疼痛、局部刺激、切口周围麻木和美容畸形，所有这些都可能导致主观结果不尽人意。最近，微创钢板接骨术（MIPO）技术已被用于治疗这些骨折。这种方法有机会减少传统开放手术入路的缺点，同时保留其优点，尊重生物愈合环境并保留骨折部位的血供。本研究的目的是提供用于治疗移位型锁骨中段骨折的MIPO手术技术的分步描述，并报告使用该技术的一系列病例的临床结果。
