Treatment of midclavicular nonunion: Comparison of dynamic compression plating and low-contact dynamic compression plating techniques
Treatment of midclavicular nonunion: Comparison of dynamic compression plating and low-contact dynamic compression plating techniques
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DOI：
10.1016/j.jse.2004.01.033
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发表时间：
2004-07-01
影响因子：
3
通讯作者：
Karaoglu, S
中科院分区：
文献类型：
--
作者：
Kabak, S;Halici, M;Karaoglu, S
在这项研究中，我们比较了锁骨中部骨不连患者，采用动态加压钢板（DCP）或低接触DCP （LC-DCP）联合内固定治疗锁骨中部骨不连，并在骨不连区域应用自体皮质松质芯片或雕刻移植物。LC-DCP固定组患者愈合时间短于DCP固定组（P < 0.001）。LC-DCP固定治疗的油类患者愈合，DCP固定治疗的患者愈合率为87.5%。所有接受LC-DCP固定治疗的患者都回到了原来的工作岗位，而接受DCP固定治疗的两名患者不得不改变工作岗位。根据手臂、肩部和手部功能障碍评分，失访时LC-DCP固定治疗的患者功能结局更令人满意（P < 0.001）。小锁骨骨不连患者在自体皮质松质芯片或骨雕刻移植物的基础上，采用DCP或LC-DCP进行锁骨内固定，缩短了愈合时间，提高了愈合率，并提供了令人满意的功能结果。
In this study a comparison of patients with midclovicular nonunion, treated by a combination of internal fixation with dynamic compression plate (DCP) or lowcontact DCP (LC-DCP) and application of autogenous corticocancellous chips or sculptured graft on nonunion areas, was performed. Time to union in the patients treated with LC-DCP fixation was shorter than in those treated with DCP fixation (P < .001). Union was obtained in oil patients treated with LC-DCP fixation and in 87.5% of those treated with DCP fixation. All of those treated with LC-DCP fixation returned to their original jobs, whereas two patients treated with DCP fixation had to change jobs. According to the Disabilities of the Arm, Shoulder, and Hand functional score, at the lost follow-up visit, functional outcomes of the patients treated with LC-DCP fixation were more satisfactory (P < .001). The addition of internal fixation of the clavicle with DCP or LC-DCP to application of autogenous corticocancellous chips, or sculptured graft on nonunion areas in patients with miciclavicular nonunion, shortens the time to union, increases union rates, and provides satisfactory functional outcomes.