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锁骨骨折的外科治疗:88例病例的描述性分析

SURGICAL TREATMENT OF CLAVICLE FRACTURES: A DESCRIPTIVE ANALYSIS OF 88 CASES.

作者信息

Rodrigues Leandro Marano, Oliveira Rafael Sampaio, Nunes Lerud Frosi, Lázaro Fernando Furtado, Ton Angelo, Denadai Anderson

机构信息

Santa Casa de Misericordia de Vitoria, Departamento de Cirurgia de Ombro e Cotovelo, Vitoria, ES, Brazil.

Vitoria Apart Hospital, Departamento de Cirurgia de Ombro e Cotovelo, Serra, ES, Brazil.

出版信息

Acta Ortop Bras. 2023 Jul 17;31(3):e264456. doi: 10.1590/1413-785220233103e264456. eCollection 2023.

DOI:10.1590/1413-785220233103e264456
PMID:37469495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10353874/
Abstract

UNLABELLED

Clavicle fractures are one of the most common types of bone injuries in adults. Recently, the treatment protocol for these fractures has undergone changes.

OBJECTIVE

To better understand the epidemiological and behavioral profile of these lesions when they require surgical treatment.

METHODS

This is an analysis of a series of cases. Our sample included individuals undergoing surgical treatment for clavicle fractures.

RESULTS

In total, 88 subjects fulfilled the predetermined criteria. Among these, 75 (85.22%) were male; automobile accidents corresponded to the largest etiological group, reaching 48% of prevalence; there was a slight predominance of the right side, totaling 45 cases (51%); most fractures were classified as Allman type I; an infection rate was observed in 1.13% of the cases; and the development of pseudarthrosis was identified in 2.27% of the patients.

CONCLUSION

The incidence of clavicle fracture is higher in young men, mainly caused by car accidents, being mostly located in the middle third. No statistical significance was found between the synthesis material data and the postoperative complication rate, revealing the absence of risk superiority between the different types of surgical approaches used.

摘要

未标注

锁骨骨折是成人最常见的骨损伤类型之一。最近,这些骨折的治疗方案发生了变化。

目的

为了更好地了解这些损伤在需要手术治疗时的流行病学和行为特征。

方法

这是一系列病例分析。我们的样本包括接受锁骨骨折手术治疗的个体。

结果

共有88名受试者符合预定标准。其中,75名(85.22%)为男性;汽车事故是最大的病因组,患病率达48%;右侧略占优势,共有45例(51%);大多数骨折被归类为奥尔曼I型;1.13%的病例观察到感染率;2.27%的患者出现假关节形成。

结论

锁骨骨折在年轻男性中发病率较高,主要由车祸引起,大多位于中1/3。合成材料数据与术后并发症发生率之间未发现统计学意义,表明所用不同手术方法之间不存在风险优势。

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本文引用的文献

1
Displaced midshaft clavicle fracture in athletes - should we operate?运动员的中段锁骨移位骨折——我们应该进行手术吗?
Rev Bras Ortop. 2018 Feb 15;53(2):171-175. doi: 10.1016/j.rboe.2018.02.002. eCollection 2018 Mar-Apr.
2
Epidemiology of clavicle fractures in a level 1 trauma center in Belgium.比利时一家一级创伤中心锁骨骨折的流行病学情况
Eur J Trauma Emerg Surg. 2018 Oct;44(5):717-726. doi: 10.1007/s00068-017-0858-7. Epub 2017 Oct 13.
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Clavicle fractures: epidemiology, classification and treatment of 2 422 fractures in the Swedish Fracture Register; an observational study.锁骨骨折:瑞典骨折登记处2422例骨折的流行病学、分类及治疗;一项观察性研究
BMC Musculoskelet Disord. 2017 Feb 15;18(1):82. doi: 10.1186/s12891-017-1444-1.
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Rate of and Risk Factors for Reoperations After Open Reduction and Internal Fixation of Midshaft Clavicle Fractures: A Population-Based Study in Ontario, Canada.锁骨中段骨折切开复位内固定术后再次手术的发生率及危险因素:加拿大安大略省的一项基于人群的研究
J Bone Joint Surg Am. 2014 Jul 2;96(13):1119-1125. doi: 10.2106/JBJS.M.00607.
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Reoperation following open reduction and plate fixation of displaced mid-shaft clavicle fractures.移位型锁骨中段骨折切开复位钢板固定术后再手术
Injury. 2014 Oct;45(10):1549-53. doi: 10.1016/j.injury.2014.04.032. Epub 2014 Apr 28.
6
Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. Surgical technique.非手术治疗与移位型锁骨中段骨折钢板固定的比较。手术技术。
J Bone Joint Surg Am. 2008 Mar;90 Suppl 2 Pt 1:1-8. doi: 10.2106/JBJS.G.01336.
7
Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group.急性锁骨中段骨折的治疗:对2144例骨折的系统评价:代表循证骨创伤工作组
J Orthop Trauma. 2005 Aug;19(7):504-7. doi: 10.1097/01.bot.0000172287.44278.ef.
8
Epidemiology of clavicle fractures.锁骨骨折的流行病学
J Shoulder Elbow Surg. 2002 Sep-Oct;11(5):452-6. doi: 10.1067/mse.2002.126613.