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首页> 外文期刊>International Orthopaedics >Locking plate osteosynthesis of clavicle fractures: complication and reoperation rates in one hundred and five consecutive cases.
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Locking plate osteosynthesis of clavicle fractures: complication and reoperation rates in one hundred and five consecutive cases.

机译:锁定板骨质合成锁骨骨折:连续一百和五个案例中的并发症和重新捕集率。

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摘要

Locking plate osteosynthesis has become the preferred method for operative treatment of clavicle fractures. The method offers stable fixation, and would theoretically be associated with a low rate of fracture-related complications and reoperations. However, this remains to be explored in a large cohort, and our purpose was to assess the overall rates of complications and reoperations following locking plate osteosynthesis of mid-shaft clavicle fractures.We identified all locking plate osteosynthesis of mid-shaft clavicle fractures operated upon in our department from January 2008 to November 2010 (n?=?114). Nine patients did not attend the follow-up at our institution. The study group of 105 fractures (104 patients, 86 males) had a median age of 36 years (14-75 years). Follow-up ranged from 0.5 to 3.5 years. No patients were allowed to load the upper extremity for six weeks. By studying patient files and radiographic material, we assessed complications and reoperations.Overall, there were 31 cases (30 %) of plate removals for discomfort. There were five cases (5 %) of failure of osteosynthesis: two occurred early after approximately six weeks and three late after ten to 13 months postoperatively.The overall rate of failure of osteosynthesis is low (5 %). The burden of plate removals in approximately one third of patients should be included in the preoperative information.
机译:锁定板骨质合成已成为锁骨骨折手术治疗的优选方法。该方法提供稳定的固定,从理论上与低骨折相关的并发症和重新进展相关联。但是,这仍有待探讨的是大队列,我们​​的目的是评估锁定板锁骨骨折后锁定板骨折后的并发症和重新进步的总体率。我们鉴定了在操作中间轴锁骨骨折的所有锁定板骨性合成在我们2008年1月至2010年11月的部门(N?=?114)。九名患者没有参加我们机构的后续行动。该研究组105骨折(104例,86名男性)中位年龄为36岁(14-75岁)。随访范围从0.5到3。5年。不允许患者加载六周的上肢。通过研究患者文件和射线照相材料,我们评估了并发症和重新进入。overall,有31例(30%)的盘子去除了不适。骨质合成的失败有五种情况(5%):两次发生在大约六周后发生,术后十〜13个月后三次发生。骨质合成的总体失效率低(5%)。在术前信息中,大约三分之一的患者中的盘子去除的负担应包括在术前信息中。

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