지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.12
- 수록면
- 230 - 235 (6page)
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초록· 키워드
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Background: Neer type II distal clavicle fractures have the drawback of coracoclavicular instability and insufficient distal bony fragment, thereby making it difficult to achieve adequate fixation. Although various surgical treatments have been described for Neer type II fracture, the optimal treatment remains controversial. This study reports the clinical results and usefulness of anatomical locking plate with additional K-wire fixation.
Methods: A totally of 21 patients with type II distal clavicle fracture were included in the study. The surgical procedure reduced the fracture temporarily; it included insertion of one or two K-wire from the lateral margin of the distal fragment to the proximal fragment through the fracture site, followed by application and fixation of the locking plate. The bony union and migration of K-wire was evaluated in the follow-up radiography. The coracoclavicular distance and acromioclavicular joint arthrosis were assessed at the final follow-up. The Constant Score (CS) and Korean Shoulder Score (KSS) were evaluated for clinical scoring.
Results: Bone union was achieved in all cases. At the final follow-up, coracoclavicular distance of the injured shoulder was increased, as compared to the intact shoulder (p=0.002), with no accompanying clinical symptoms. No K-wire migration was observed. At the final follow-up, K-wire irritation was observed in two cases and acromioclavicular arthrosis in one case, with no other adverse effects. Pain visual analogue scale, CS, and KSS were improved in all cases.
Conclusions: The method of anatomical locking plate with additional K-wire fixation could be useful in achieving beneficial clinical results.
Methods: A totally of 21 patients with type II distal clavicle fracture were included in the study. The surgical procedure reduced the fracture temporarily; it included insertion of one or two K-wire from the lateral margin of the distal fragment to the proximal fragment through the fracture site, followed by application and fixation of the locking plate. The bony union and migration of K-wire was evaluated in the follow-up radiography. The coracoclavicular distance and acromioclavicular joint arthrosis were assessed at the final follow-up. The Constant Score (CS) and Korean Shoulder Score (KSS) were evaluated for clinical scoring.
Results: Bone union was achieved in all cases. At the final follow-up, coracoclavicular distance of the injured shoulder was increased, as compared to the intact shoulder (p=0.002), with no accompanying clinical symptoms. No K-wire migration was observed. At the final follow-up, K-wire irritation was observed in two cases and acromioclavicular arthrosis in one case, with no other adverse effects. Pain visual analogue scale, CS, and KSS were improved in all cases.
Conclusions: The method of anatomical locking plate with additional K-wire fixation could be useful in achieving beneficial clinical results.
목차
Introduction
Methods
Results
Discussion
References
참고문헌 (24)
참고문헌 신청
[학술지(정기간행물)] - Nordqvist A / 1994 / The incidence of fractures of the clavicle / Clin Orthop Relat Res (300) : 127 ~ 132
[학술지(정기간행물)] - Postacchini F / 2002 / Epidemiology of clavicle fractures / J Shoulder Elbow Surg 11 (5) : 452 ~ 456
[학술지(정기간행물)] - Neer CS / 1968 / Fractures of the distal third of the clavicle / Clin Orthop Relat Res 58 : 43 ~ 50
[학술지(정기간행물)] - Robinson CM / 2004 / Primary nonoperative treatment of displaced lateral fractures of the clavicle / J Bone Joint Surg Am 86 (4) : 778 ~ 782
[학술지(정기간행물)] - Ballmer FT / 1991 / Coracoclavicular screw fixation for unstable fractures of the distal clavicle. A report of five cases / J Bone Joint Surg Br 73 (2) : 291 ~ 294
[학술지(정기간행물)] - Postacchini F / 2002 / Epidemiology of clavicle fractures / J Shoulder Elbow Surg 11 (5) : 452 ~ 456
[학술지(정기간행물)] - Neer CS / 1968 / Fractures of the distal third of the clavicle / Clin Orthop Relat Res 58 : 43 ~ 50
[학술지(정기간행물)] - Robinson CM / 2004 / Primary nonoperative treatment of displaced lateral fractures of the clavicle / J Bone Joint Surg Am 86 (4) : 778 ~ 782
[학술지(정기간행물)] - Ballmer FT / 1991 / Coracoclavicular screw fixation for unstable fractures of the distal clavicle. A report of five cases / J Bone Joint Surg Br 73 (2) : 291 ~ 294
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