지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.6
- 수록면
- 73 - 77 (5page)
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초록· 키워드
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Background: The first purpose of this study is to compare the clinical and radiological outcomes of surgical treatment for displaced midshaft clavicle fracture (Robinson type 2B1 vs. 2B2) with 3.5-mm low profile clavicular locking compression plate. The second purpose is to evaluate the difference of the results depending on the presence of accompanying injuries.
Methods: Forty-nine patients who underwent an operation for the fractures were reviewed retrospectively. Fracture patterns were classified according to group 2B1 and 2B2 using Robinson’s classification. For radiological outcome, time to union after operation was evaluated and for clinical outcome, American Shoulder and Elbow Society (ASES) score, University of California in Los Angeles (UCLA) score, visual analogue scale (VAS), and range of motion (ROM) were evaluated from preoperative period to last follow-up period.
Results: The mean time for union was not significantly different in the 2B1 group and 2B2 group (p=0.062). No statistically significant difference in ASES score, UCLA score, and VAS was observed between 2B1 and 2B2 (p=0.619, p=0.896, p=0.856, respectively). In ROM, significant higher mean forward flexion and abduction was observed in 2B2 (p=0.025, p=0.017, respectively) and there was no difference in external rotation and external rotation at shoulder 90o abduction position (p=0.130, p=0.180, respectively). There was no significant difference in clinical outcomes according to the accompanying injuries.
Conclusions: There was no difference in clinical and radiological outcome between Robinson 2B1 and 2B2 type fracture after the operation. Accompanying injuries may not affect the clinical result of displaced midshaft clavicle fractures.
Methods: Forty-nine patients who underwent an operation for the fractures were reviewed retrospectively. Fracture patterns were classified according to group 2B1 and 2B2 using Robinson’s classification. For radiological outcome, time to union after operation was evaluated and for clinical outcome, American Shoulder and Elbow Society (ASES) score, University of California in Los Angeles (UCLA) score, visual analogue scale (VAS), and range of motion (ROM) were evaluated from preoperative period to last follow-up period.
Results: The mean time for union was not significantly different in the 2B1 group and 2B2 group (p=0.062). No statistically significant difference in ASES score, UCLA score, and VAS was observed between 2B1 and 2B2 (p=0.619, p=0.896, p=0.856, respectively). In ROM, significant higher mean forward flexion and abduction was observed in 2B2 (p=0.025, p=0.017, respectively) and there was no difference in external rotation and external rotation at shoulder 90o abduction position (p=0.130, p=0.180, respectively). There was no significant difference in clinical outcomes according to the accompanying injuries.
Conclusions: There was no difference in clinical and radiological outcome between Robinson 2B1 and 2B2 type fracture after the operation. Accompanying injuries may not affect the clinical result of displaced midshaft clavicle fractures.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (21)
참고문헌 신청
[학술지(정기간행물)] - Johnson EW Jr / 1963 / Nonunion of the clavicle / Arch Surg 87 (6) : 963 ~ 966
[학술지(정기간행물)] - Paffen PJ / 1978 / Surgical treatment of clavicular fractures with Kirschner wires : a comparative study / Arch Chir Neerl 30 (1) : 43 ~ 53
[학술지(정기간행물)] - Khan LA / 2009 / Fractures of the clavicle / J Bone Joint Surg Am 91 (2) : 447 ~ 460
[학술지(정기간행물)] - Haidukewych GJ / 2004 / Innovations in locking plate technology / J Am Acad Orthop Surg 12 (4) : 205 ~ 212
[학술지(정기간행물)] - Perren SM / 2001 / Evolution and rationale of locked internal fixator technology. Introductory remarks / Injury 32 (Suppl 2) : B3 ~ B9
[학술지(정기간행물)] - Paffen PJ / 1978 / Surgical treatment of clavicular fractures with Kirschner wires : a comparative study / Arch Chir Neerl 30 (1) : 43 ~ 53
[학술지(정기간행물)] - Khan LA / 2009 / Fractures of the clavicle / J Bone Joint Surg Am 91 (2) : 447 ~ 460
[학술지(정기간행물)] - Haidukewych GJ / 2004 / Innovations in locking plate technology / J Am Acad Orthop Surg 12 (4) : 205 ~ 212
[학술지(정기간행물)] - Perren SM / 2001 / Evolution and rationale of locked internal fixator technology. Introductory remarks / Injury 32 (Suppl 2) : B3 ~ B9
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UCI(KEPA) : I410-ECN-0101-2017-514-000829778