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符合人体工程学的优化设置,用于锁骨切开复位内固定的卓越钢板固定术。

Ergonomically Optimized Setup for Superior Plating of Clavicle Open Reduction and Internal Fixation.

作者信息

Afetse Eddie K, Jochl Olivia M, Abouhaif Taylor M, Campisi Carson, Ruzbarsky Joseph J

机构信息

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

The Steadman Clinic, Vail, Colorado, U.S.A.

出版信息

Arthrosc Tech. 2024 Sep 24;14(3):103269. doi: 10.1016/j.eats.2024.103269. eCollection 2025 Mar.

DOI:10.1016/j.eats.2024.103269
PMID:40207312
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11977151/
Abstract

The clavicle, characterized by its S-shaped structure, is anatomically divided into 3 sections: proximal, midshaft, and distal. Clavicle fractures are very common, particularly among children and young adults, especially with certain activities, including mountain biking, skiing, and snowboarding. Approximately 80% of these fractures are located in the middle third, with nearly half of them being displaced. Treatment for these fractures can be either operative or conservative. Although several options exist for treatment, superior plating for displaced fractures is commonly performed. This Technical Note describes an ergonomically optimized setup and preparation in the beach-chair position for superior plating of midshaft clavicle fractures.

摘要

锁骨以其S形结构为特征,在解剖学上分为3个部分:近端、中段和远端。锁骨骨折非常常见,尤其在儿童和年轻人中,特别是在某些活动中,包括山地自行车、滑雪和单板滑雪。这些骨折中约80%位于中三分之一处,其中近一半发生移位。这些骨折的治疗可以是手术治疗或保守治疗。尽管有几种治疗选择,但对于移位骨折通常采用钢板上置术。本技术说明描述了在沙滩椅位对锁骨中段骨折进行钢板上置术时符合人体工程学的优化设置和准备工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddd/11977151/2e5e6e2b08e5/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddd/11977151/0ecf9b7724bc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddd/11977151/ab6407ae63fc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddd/11977151/a3bfec8d86bd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddd/11977151/bb9e55b4d41d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddd/11977151/2e5e6e2b08e5/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddd/11977151/0ecf9b7724bc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddd/11977151/ab6407ae63fc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddd/11977151/a3bfec8d86bd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddd/11977151/bb9e55b4d41d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddd/11977151/2e5e6e2b08e5/gr5.jpg

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本文引用的文献

1
Patient Position Is Related to the Risk of Neurovascular Injury in Clavicular Plating: A Cadaveric Study.患者体位与锁骨钢板固定中神经血管损伤的风险有关:尸体研究。
Clin Orthop Relat Res. 2019 Dec;477(12):2761-2768. doi: 10.1097/CORR.0000000000000902.
2
Midshaft Clavicle Fractures: Surgery Provides Better Results as Compared With Nonoperative Treatment: A Meta-analysis.锁骨中段骨折:手术治疗优于非手术治疗:Meta 分析。
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3
Complications associated with plate fixation of acute midshaft clavicle fractures versus non-unions.
急性锁骨中段骨折钢板固定与骨不连相关的并发症
Eur J Orthop Surg Traumatol. 2018 Aug;28(6):1059-1064. doi: 10.1007/s00590-018-2174-2. Epub 2018 Mar 13.
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A comparison of the lateral decubitus and beach-chair positions for shoulder surgery: advantages and complications.肩部手术中外侧卧位与沙滩椅位的比较:优势与并发症
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Analysis of neurovascular safety between superior and anterior plating techniques of clavicle fractures.锁骨骨折前路与前路钢板内固定术的神经血管安全性分析。
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Fractures of the clavicle.锁骨骨折。
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