Mini-open Treatment Using Plate of Clavicle Mid-shaft Fractures

Yong-Geun Park; Hyunseong Kang; Shinil Kim; Jong-Hwan Bae; Sungwook Choi

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자료유형: 학술저널

저자정보: Yong-Geun Park (Jeju National University School of Medicine) Hyunseong Kang (Jeju National University School of Medicine) Shinil Kim (Jeju National University School of Medicine) Jong-Hwan Bae (Jeju National University School of Medicine) Sungwook Choi (Jeju National University School of Medicine)

저널정보: 대한견주관절의학회 대한견주관절의학회지 대한견주관절학회지 제20권 제1호

발행연도: 2017.3

수록면: 37 - 41 (5page)

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Background: Increased frequency of comminuted clavicle mid-shaft fractures and importance of functional satisfaction through early joint exercise has resulted in higher emphasis on surgical treatments. This study aimed to evaluate the clinical radiological results of treatment of clavicle mid-shaft fractures by open reduction and internal fixation using a plate with a small incision.
Methods: The subjects of this study were 80 clavicle mid-shaft fracture cases treated with internal fixation using a plate from October 2010 to July 2014. Clavicle mid-shaft fractures were internally fixated using anatomical plates or locking compression plates. Achievement of bone union, union period, and clavicle length shortening were evaluated radiologically, and clinical assessment was done by using Constant and University of California at Los Angeles (UCLA) scores.
Results: All 80 cases were confirmed to have achieved bone union through radiographs with an average union period of 10.9 weeks (range: 7–18 weeks). The average clavicle length of shortening in the affected side was 1.8 mm (range: 0–17 mm). The average UCLA score and Constant score were 33.6 (range: 25–35) and 92.5 (range: 65–100), respectively. Regarding complications, four cases reported skin irritation by metal plates, and one case reported a screw insertion site fracture due to minor trauma history.
Conclusions: We were able to induce successful bone union and obtain clinically satisfactory results in displaced mid-shaft fractures of the clavicle without major complications such as nonunion through treatment of internal fixation using a plate.

#Clavicle mid shaft fracture #Open reduction and internal fixation #Anatomical plate #Locking compression plate

참고문헌 (27)

참고문헌 신청

[학술지(정기간행물)] - Postacchini F / 2002 / Epidemiology of clavicle fractures / J Shoulder Elbow Surg 11 (5) : 452 ~ 456

[학술지(정기간행물)] - Robinson CM / 1998 / Fractures of the clavicle in the adult. Epidemiology and classification / J Bone Joint Surg Br 80 (3) : 476 ~ 484

[학술지(정기간행물)] - Zlowodzki M / 2005 / Treatment of acute midshaft clavicle fractures: systematic review of 2144fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group / J Orthop Trauma 19 (7) : 504 ~ 507

[학술지(정기간행물)] - McKee MD / 2006 / Deficits following nonoperative treatment of displaced midshaft clavicular fractures / J Bone Joint Surg Am 88 (1) : 35 ~ 40

[학술지(정기간행물)] - Bernstein J / 2007 / Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures / J Bone Joint Surg Am 89 (8) : 1866 ~

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