LOW-CONTACT DYNAMIC COMPRESSION PLATING OF THE CLAVICLE
LOW-CONTACT DYNAMIC COMPRESSION PLATING OF THE CLAVICLE
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DOI：
10.1016/0020-1383(94)90183-x
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发表时间：
1994-01-01
影响因子：
2.5
通讯作者：
JUPITER, JB
中科院分区：
文献类型：
--
作者：
MULLAJI, AB;JUPITER, JB
锁骨内固定很少需要。当它是必要的，锁骨的复杂的三维形态和功能解剖，接近重要结构，和多方向的生物力学力量作用于它放置相当大的要求，任何植入物用于骨骼fixation.We治疗9锁骨与最近推出的3.5毫米低接触动态加压钢板（LC-DCP）。手术治疗6例症状性骨不连，1例骨折畸形愈合后肩关节功能障碍，1例开放性骨折，1例臂丛神经损伤相关急性骨折。经过平均17个月的随访，每例患者均获得了愈合。讨论了3.5mm LC-DCP在锁骨内固定中的优势，其独特的解剖学和生物力学特性要求。
Internal fixation of the clavicle is rarely necessary. When it is warranted, the clavicle's complex three-dimensional morphology and functional anatomy, proximity to vital structures, and the multidirectional biomechanical forces acting upon it place considerable demands on any implant used for skeletal fixation.We treated nine clavicles with the recently-introduced 3.5 mm low contact-dynamic compression plate (LC-DCP). Surgery was performed for symptomatic non-union in six patients, shoulder dysfunction following a malunited fracture in one, for an open fracture in one, and for an acute fracture associated with brachial plexus injury in one. After an average follow-up period of 17 months union was secured in each case.The advantages afforded by the 3.5 mm LC-DCP in internal fixation of the clavicle with its uniquely demanding anatomical and biomechanical characteristics are discussed.