Clavicular non-union treated with fixation using locking compression plate without bone graft
Clavicular non-union treated with fixation using locking compression plate without bone graft
复制标题
锁定加压钢板不植骨固定治疗锁骨不连
DOI：
10.1186/s13018-018-1015-7
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发表时间：
2018-12-13
影响因子：
2.6
通讯作者：
Zhou, Binghua
中科院分区：
文献类型：
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作者：
Chen, Wan;Tang, Kanglai;Zhou, Binghua
背景关于锁骨骨不连节段性缺损需要植骨的文献报道很少。本研究评估了功能和影像学结果的固定锁定加压钢板（LCP）无骨移植物时，缺损的大小小于2cm以下的骨硬化去除治疗锁骨不愈合。MethodsThe研究包括17例锁骨中段不愈合。所有患者均接受了骨硬化切除术，并使用LCP进行固定，无需植骨。患者进行了评估术前，术后至少24个月（平均值，44.47个月;范围，24至60个月）的残疾的手臂，肩膀和手（DASH）评分，Constant-Murley评分，和radiographics.ResultsIn这项研究中，没有患者失去了后续行动。DASH评分从术前的38.76 ± 7.76（31.00-46.52）分提高到术后2年的19.88 ± 7.18（12.70-27.06）分（P
BackgroundThe articles that have reported on the size at which a segmental defect of clavicular non-union requires bone grafting are scarce. This study evaluated the functional and radiologic results of fixation by locking compression plate (LCP) without bone graft when the defect size is less than 2cm following bone sclerosis removal for the treatment of clavicular non-union.MethodsThe study included 17 patients with mid-shaft clavicular non-union. All patients underwent bone sclerosis resection and fixation using LCP without bone graft. The patients were evaluated preoperatively, and after a minimum of 24months (mean, 44.47months; range, 24 to 60months) postoperatively in terms of the disabilities of the arm, shoulder and hand (DASH) score, the Constant-Murley score, and radiography.ResultsIn this study, no patients were lost to follow-up. The mean DASH score improved from 38.767.76 (31.00-46.52) points preoperatively to 19.88 +/- 7.18 (12.70-27.06) points 2years postoperatively (P