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首页> 外文期刊>Acta Orthopaedica et Traumatologica Turcica >Is plating of mid-shaft clavicular fractures possible with a conventional straight 3.5 millimeter locking compression plate?
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Is plating of mid-shaft clavicular fractures possible with a conventional straight 3.5 millimeter locking compression plate?

机译：使用传统的直形3.5毫米锁定加压钢板是否可以镀覆中轴锁骨骨折？

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Objective: Current literature describes improved clinical outcomes and a minor rate of pseudoarthrosis following operatively treated clavicular fractures. We investigated the feasibility of using a standard 3.5 mm AO locking compression plate (LCP) of adequate length for the stabilisation of mid-shaft fractures of the clavicle. Methods: The length and acromial and diaphyseal curvature depths were measured in 49 cadaveric clavicles. We then assessed how well the 6, 7, 8 and 9-hole plates fit on the clavicles. Results: The mean clavicular length was 155±12 mm, with a mean acromial curvature of 18.1± 3.7 mm and a mean diaphyseal curvature of 12 mm±4 mm. The optimum plate for the clavicle was a 7-hole LCP, providing adequate fixation in 48 of the 49 clavicles. Conclusion: The described technique for plate osteosynthesis of the clavicle with AO locking compression plate is feasible and results in a biomechanically strong construct for mid-shaft fractures. With the use of a locking plate, comminuted fractures may be bridged without a reduction in the strength of the construct.
机译：目的：目前的文献描述了经手术治疗的锁骨骨折后，临床结果改善，假性关节炎发生率较低。我们研究了使用标准长度的3.5毫米AO锁定加压钢板（LCP）来稳定锁骨中轴骨折的可行性。方法：测量49例尸骨锁骨的长度，肩峰和dia骨弯曲深度。然后，我们评估了6、7、8和9孔板在锁骨上的安装情况。结果：平均锁骨长度为155±12 mm，平均肩峰曲度为18.1±3.7 mm，平均骨干曲度为12 mm±4 mm。锁骨的最佳钢板是7孔LCP，可在49个锁骨中的48个中提供足够的固定。结论：所描述的采用AO锁定加压钢板进行锁骨钢板内固定的技术是可行的，并导致了生物力学上坚固的中轴骨折构造。通过使用锁定板，可以将粉碎的骨折桥接起来而不会降低结构的强度。

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