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学科主题: 临床医学
题名:
Using suture and locking anatomical bridging plate to fix comminuted mid-shaft clavicle fractures with intramedullary nail assistance in reduction
作者: Yang, Ming; Guo, Meng; Zhang, Peixun; Jiang, Baoguo
关键词: Clavicle ; K-wire ; screw plate fixation ; midshaft
刊名: INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
发表日期: 2015
卷: 8, 期:7, 页:11153-11159
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, Research & Experimental
研究领域[WOS]: Research & Experimental Medicine
关键词[WOS]: MIDCLAVICULAR FRACTURES ; OPERATIVE TREATMENT ; FIXATION ; PIN ; OSTEOSYNTHESIS ; TRIAL
英文摘要:

Background: During conventional plate fixation of comminuted midshaft fracture of the clavicle, wedgeshaped fragments often need to be fixed with lag screws. A new procedure, which included intramedullary K-wire assistance in reduction, binding fragments by suture, and eventually bridging plate fixation, was compared with conventional techniques. Hypothesis: This new procedure is more effective than the conventional techniques, and the fixation of free fragments using lag screws is not necessary. Material and methods: This was a retrospective study of 60 patients from August 2008 to March 2013 with comminuted midshaft clavicular fractures with wedge-shaped fragments. Seventeen patients were treated with conventional plate fixation, and the wedge-shaped fragments were fixed using lag screws (LSPF). Another 43 patients were treated with the new procedure, including intramedullary K-wire assistance in reduction, binding of wedge-shaped fragments by suture, and bridging plate fixation (KSB). Patients were followed for an average of 13 months and radiographs were used to observe fracture healing. Shoulder function was assessed using the Constant Score System (CSS). Results: There was no significant difference in bone healing time and shoulder function between the two study groups. The operating time for KSB was significantly shorter than conventional LSPF (P=0.014). Fractures healed in 14.9 +/- 5.59 weeks for the conventional LSPF group and in 13.6 +/- 3.59 weeks for the KSB group. One patient treated with conventional LSPF had implant failure and underwent a second operation. Conclusions: KSB is a simple and effective procedure for comminuted midshaft clavicular fractures. The wedge-shaped fragments in comminuted midshaft clavicular fractures do not always need to be fixed by lag screws and the new procedure described is an effective treatment alternative. Level of evidence: Level IV.

语种: 英语
所属项目编号: 2014CB542201 ; SS2015AA020501 ; IRT1201 ; 31271284 ; 31171150 ; BMU20110270 ; RDB2014-01
项目资助者: Chinese National Ministry of Science and Technology 973 Project ; 863 project ; ministry of education innovation team ; National Natural Science Fund ; Educational Ministry New Century Excellent Talents Support Project ; Peking University People&prime ; s Hospital RD Fund
WOS记录号: WOS:000361557500104
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54502
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: Peking Univ, Dept Orthoped & Traumatol, Peoples Hosp, Beijing 10044, Peoples R China

Recommended Citation:
Yang, Ming,Guo, Meng,Zhang, Peixun,et al. Using suture and locking anatomical bridging plate to fix comminuted mid-shaft clavicle fractures with intramedullary nail assistance in reduction[J]. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,2015,8(7):11153-11159.
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