A new approach for plate fixation of midshaft clavicular fractures

A new approach for plate fixation of midshaft clavicular fractures
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DOI:
10.1016/j.injury.2005.03.007
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发表时间:
2005-10-01
影响因子:
2.5
通讯作者:
Patel, AD
Patel, AD
中科院分区:
医学3区
文献类型:
--
作者:
Coupe, BD;Wimhurst, JA;Patel, AD

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大多数锁骨中段骨折都能顺利愈合。尽管手术干预的适应症有限且报告的并发症发生率很高,但在某些情况下仍需要手术。我们描述了一种新的锁骨下手术方法,在 9 年来对 89 名患者进行了一系列治疗。平均愈合时间为 13.5 周。 1例深度感染,1例不愈合,均经进一步治疗后痊愈。这些结果与之前发布的系列相比非常有利,我们认为这种操作方法可以安全管理其他潜在危险的程序。 (c) 2005 Elsevier Ltd. 保留所有权利。
The majority of midshaft clavicle fractures unite uneventfully. Although the indications for operative intervention are Limited and reported complication rates high, there are circumstances in which surgery is required. We describe a new, infraclavicular surgical approach to the clavicle used in a series of 89 patients over 9 years. Average time to union was 13.5 weeks. There was one case of deep infection and one of non-union, both of which resolved with further treatment. These results compare very favourably with previously published series and we submit that this operative approach allows safe management of an otherwise potentially hazardous procedure. (c) 2005 Elsevier Ltd. All rights reserved.