Operative Treatment of Clavicle Midshaft Fractures: Comparison between Reconstruction Plate and Reconstruction Locking Compression Plate
Operative Treatment of Clavicle Midshaft Fractures: Comparison between Reconstruction Plate and Reconstruction Locking Compression Plate
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DOI：
10.4055/cios.2010.2.3.154
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发表时间：
2010-09-01
影响因子：
2.5
通讯作者：
Lee, Kyung-Jae
中科院分区：
文献类型：
--
作者：
Cho, Chul-Hyun;Song, Kwang-Soon;Lee, Kyung-Jae
背景：比较重建钢板与重建锁定加压钢板（LCP）治疗锁骨中轴骨折的疗效。方法：采用重建钢板内固定（19例）或重建LCP内固定（22例）治疗锁骨中轴骨折41例。根据手臂、肩膀和手的快速残疾（DASH）评分和x线平片评估临床和影像学结果。结果：重建钢板组平均愈合时间为14.6周，重建LCP组平均愈合时间为13.2周（p < 0.05）。重建钢板组快速DASH平均评分为33.85分，重建LCP组平均评分为34.81分（p < 0.05）。重建钢板并发症为增生性瘢痕2例，肩关节疼痛2例，肩关节活动受限2例，螺钉松动3例。重建LCP组并发症为增厚性瘢痕4例，肩关节疼痛1例，肩关节活动受限1例（p < 0.05）。结论：两组患者的放射学和临床结果均令人满意。总的来说，用重建钢板或重建LCP治疗锁骨干骨折可以获得稳定的固定。
Background: To compare the outcomes of reconstruction plate and reconstruction locking compression plate (LCP) for the treatment of clavicle midshaft fractures.Methods: Forty one patients with a clavicle midshaft fracture were treated by internal fixation with a reconstruction plate (19 patients) or reconstruction LCP (22 patients). The clinical and radiological results were evaluated according to the Quick Disability of the Arm, Shoulder, and Hand (DASH) score and plain radiographs.Results: The mean time to union was 14.6 weeks in the reconstruction plate group compared to 13.2 weeks in the reconstruction LCP group (p > 0.05). The mean score to Quick DASH was 33.85 points in the reconstruction plate group compared to 34.81 points in the reconstruction LCP group (p > 0.05). The complications in the reconstruction plate were hypertrophic scarring in 2 cases, painful shoulder in 2 cases, limitation of shoulder motion in 2 cases, and screw loosening in 3 cases. In addition, the complications in the reconstruction LCP group was hypertrophic scarring in 4 cases, painful shoulder in 1 case and a limitation of shoulder motion in 1case (p > 0.05).Conclusions: This study showed radiologically and clinically satisfactory results in both groups. Overall, operative treatment with a Reconstruction plate or reconstruction LCP for clavicle shaft fractures can be used to obtain stable fixation.