Brennwald J, Nigst H
Handchir Mikrochir Plast Chir. 1985 Sep;17(5):277-9.
During the operative revision of the brachial plexus lesion the exposure is sometimes not wide enough without an osteotomy of the clavicle. The authors developed, therefore, a special technique consisting of internal fixation with a lag-screw prior to the oblique osteotomy of the clavicle. At the end of the operation stable internal fixation can be achieved within a few minutes. This internal fixation proved to be stable, even for passive mobilization in total plexus lesions in sixteen cases over a follow-up time over five years. Primary bone healing always occurred. The technique is described.
在臂丛神经损伤的手术修复过程中,如果不进行锁骨截骨,暴露范围有时不够广泛。因此,作者开发了一种特殊技术,即在锁骨斜行截骨之前用拉力螺钉进行内固定。手术结束时,几分钟内即可实现稳定的内固定。在16例全臂丛神经损伤患者中,经过五年多的随访,这种内固定即使在被动活动时也被证明是稳定的。总是会发生一期骨愈合。本文描述了该技术。