Echtermeyer V, Zwipp H, Oestern H J
Langenbecks Arch Chir. 1984;364:351-4. doi: 10.1007/BF01823233.
The rate of pseudarthrosis in 726 conservatively treated fractures of the clavicula was 0.69%. The danger of hyperporoses lies in neurovascular compression. Errors in treatment pertain to wrong operative indications and inadequate osteosyntheses. Surgery should be performed only in 2nd and 3rd degree open fractures and/or concomitant neurovascular lesions (2.06%), in distal fracture dislocations with instability of the AC-joint (1.6%) and in cases of painful pseudarthrosis (n = 46). The implant of choice is the 3.5 DCP. Six cortical contacts must be achieved in each fragment.
726例锁骨保守治疗骨折的假关节形成率为0.69%。骨质疏松症的危险在于神经血管受压。治疗失误在于手术指征错误和骨合成不足。仅在二度和三度开放性骨折和/或伴有神经血管损伤（2.06%）、肩锁关节不稳定的远端骨折脱位（1.6%）以及疼痛性假关节病例（n = 46）时才应进行手术。首选植入物是3.5动力加压钢板。每个骨折块必须实现六个皮质接触。
