Baylor College of Medicine, 7200 Cambridge Street, Suite 10A, Houston, TX 77030, USA.
Southern California Orthopedic Institute, 6815 Noble Avenue, Van Nuys, CA 91405, USA.
Clin Sports Med. 2023 Oct;42(4):695-711. doi: 10.1016/j.csm.2023.06.017. Epub 2023 Aug 9.
This article reviews techniques and outcomes of surgical fixation for distal clavicle fractures. Near 100% union has been reported for several techniques. The most common are locked plating, coracoclavicular fixation and a combination of plating with CC fixation. Hook plates are useful for particular fracture patterns, but there can be complications specific to this implant. Low-profile constructs are favored due to the high rates of symptomatic hardware. Fixation of subacute and chronic injuries can provide reliable functional improvements, but is inferior to acute fixation. Surgery is generally the treatment of choice for displaced fractures in athletes.
本文回顾了外科固定治疗锁骨远端骨折的技术和结果。几种技术的报道显示，其愈合率接近 100%。最常见的方法是锁定钢板固定、喙锁固定以及钢板与 CC 固定的联合应用。钩钢板对于特定的骨折类型非常有用，但这种植入物也会有特定的并发症。由于有较高的症状性内植物率，因此低轮廓结构更受青睐。对于亚急性和慢性损伤的固定可以提供可靠的功能改善，但不如急性固定。对于运动员的移位性骨折，手术通常是首选的治疗方法。
