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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.
초록· 키워드
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Purpose: To introduce the technique of reducing displaced or comminuted clavicle shaft fracture using composite wiring and report the clinical results.Materials and Methods: Between March 2006 and December 2013, 31 consecutive displaced clavicle fractures (Edinburgh classification 2B) treated by anatomic reduction and internal fixation using composite wiring and plates were retrospectively evaluated. The fracture fragments were anatomically reduced and fixed with composite-wiring. An additional plate was applied. Radiographic assessments for the numbers of fragments, size of each fragment and amount of shortening and dis-placement were performed. The duration for fracture union and complications were investigated retrospectively. The mean fallow-up duration was 15.9 months.Results: The mean number of fragments was 1.7 (1-3) and the mean width of fracture fragment was 7.1 mm (4.5-10.6 mm). The mean shortening of the clavicle was 20.5 mm (10.3-36.2 mm). The mean number of composite wires used in fixation was 1.9 (1-3). Radiographic union was achieved in all patients with a mean time to union of 11.6 weeks. There were no complications including metal failure, pin migration, nonunion, or infection.Conclusion: The composite wiring was suitable for fixation of small fracture fragment and did not interfere with the union, indicating that it is useful for treatment of clavicle shaft fracture.
목차
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참고문헌 (17)
참고문헌 신청
Post M / 1989 / Current concepts in the treatment of fractures of the clavicle / Clin Orthop Relat Res 245:89~101
Kim W / 2008 / Management of acute clavicle fractures / Orthop Clin North Am 39:491~505
McKee MD / 2006 / Deficits following nonoperative treatment of displaced midshaft clavicular fractures / J Bone Joint Surg Am 88:35~40
Zlowodzki M / 2005 / Evidence-Based Orthopaedic Trauma Working Group : Treatment of acute midshaft clavicle fractures : systematic review of 2144 fractures : on behalf of the Evidence-Based Orthopaedic Trauma Working Group / J Orthop Trauma 19:504~507
Khan LA / 2009 / Fractures of the clavicle / J Bone Joint Surg Am 91:447~460
Kim W / 2008 / Management of acute clavicle fractures / Orthop Clin North Am 39:491~505
McKee MD / 2006 / Deficits following nonoperative treatment of displaced midshaft clavicular fractures / J Bone Joint Surg Am 88:35~40
Zlowodzki M / 2005 / Evidence-Based Orthopaedic Trauma Working Group : Treatment of acute midshaft clavicle fractures : systematic review of 2144 fractures : on behalf of the Evidence-Based Orthopaedic Trauma Working Group / J Orthop Trauma 19:504~507
Khan LA / 2009 / Fractures of the clavicle / J Bone Joint Surg Am 91:447~460
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