T-plate fixation for unstable proximal clavicula fractures
| Autor: | Yuan Xinhua, Qing-Jiang Pang, Wang Weibin, Fu Qingsong, Yin Yihong, Zheng Yi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual analogue scale medicine.medical_treatment Radiography Plate Sternoclavicular joint Operative Time Bone healing Anterior sternoclavicular ligament 03 medical and health sciences Fixation (surgical) Fracture Fixation Internal Fractures Bone 0302 clinical medicine lcsh:Orthopedic surgery medicine Internal fixation Humans Orthopedics and Sports Medicine Fracture Healing Clavicula fracture 030222 orthopedics Pain Postoperative business.industry Proximal 030229 sport sciences General Medicine Middle Aged Clavicle Sternoclavicular Joint Surgery lcsh:RD701-811 medicine.anatomical_structure Treatment Outcome Sternoclavicular ligament Ligaments Articular Female business Bone Plates Research Paper |
| Zdroj: | Acta Orthopaedica et Traumatologica Turcica Acta Orthopaedica et Traumatologica Turcica, Vol 52, Iss 6, Pp 464-468 (2018) |
| ISSN: | 2589-1294 |
| Popis: | Objective: The aim of this study was to evaluate the clinical results of T-plate fixation and anterior sternoclavicular ligament repair in proximal clavicle fractures. Methods: Between August 2013 and August 2016, a total 12 patients (10 men and 2 women; mean age: 44.1 ± 9.1 years (range, 25–59 years)) with unstable proximal clavicle fractures (Throckmorton, type D) were treated with T-type plate fixation, bridging the sternoclavicular joint, and anterior sternoclavicular ligament repair. Average operative time, associated injuries, postoperative complications, postoperative fracture healing time and follow-up time were recorded. The outcomes were evaluated with radiographic assessment, visual analog scale (VAS) pain score and Rockwood SCJ scoring system. All the patients were evaluated on postoperative 3rd, 6th, and 12th months. Results: The average surgery time was 78.0 ± 8.47 minutes while fracture healing time was 4.51 ± 0.95 months. According to Rockwood SCJ scoring system, 9 cases (75%) were in excellent, 2 cases (16.7%) in good and 1 case (8.3%) in fair condition at 12 months follow-up. The average Rockwood SCJ score was 7.7 ± 0.75 preoperatively, 12.7 ± 0.86 by 3 months, 13.0 ± 0.73 by 6 months and 13.3 ± 0.49 by 12 months. The VAS pain score was 7.9 ± 1.15 (preoperative score), 3.4 ± 1.52 (3 months follow-up), 3.0 ± 1.32 (6 months follow-up) and 2.1 ± 1.07 (12 months follow-up). The VAS and Rockwood SCJ scores were significantly improved postoperatively (p |
| Databáze: | OpenAIRE |
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