Postoperative chest radiograph after open reduction internal fixation of clavicle fractures: a necessary practice?

Shubert Daniel J.; Shepet Kevin H.; Kerns Abigail F.; Bramer Michelle A.

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Postoperative chest radiograph after open reduction internal fixation of clavicle fractures: a necessary practice?

机译：术后胸部射线照相后开放后锁骨骨折内部固定：必要的做法？

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Hypothesis/Background: Iatrogenic pneumothorax is a rare but serious complication of open reduction and internal fixation (ORIF) of clavicular fractures. Many institutions use postoperative chest radiographs to evaluate for this complication despite a lack of data to support this routine practice. Due to concerns of radiation exposure and health care costs, this practice may not be necessary. This study determined the rate of iatrogenic pneumothorax after clavicular ORIF with plate fixation at a single institution over 8 years. We hypothesized that postoperative chest radiographs would identify a very low rate of pneumothorax in patients with isolated clavicular fractures with no serious preoperative pulmonary injury.

机译：假设/背景：性能性气胸是一种罕见但严重的夹层骨折的缩减和内固定（orif）的严重并发症。许多机构使用术后胸部射线照相，尽管缺乏数据来评估这种并发症，以支持这一例程实践。由于辐射暴露和医疗费用的担忧，可能不需要这种做法。该研究确定了在8年内在单个机构的板固定术后杀死岩浆后的认可气胸速率。我们假设术后胸部射线照相将识别患者患者患者患者患者的极低速率，没有严重的术前肺损伤。

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来源
《Journal of shoulder and elbow surgery》 |2019年第5期|共6页
作者
Shubert Daniel J.; Shepet Kevin H.; Kerns Abigail F.; Bramer Michelle A.;
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作者单位

West Virginia Univ Dept Orthopaed POB 9196 Morgantown WV 26506 USA;

West Virginia Univ Dept Orthopaed POB 9196 Morgantown WV 26506 USA;

West Virginia Univ Sch Med Morgantown WV 26506 USA;

West Virginia Univ Dept Orthopaed POB 9196 Morgantown WV 26506 USA;

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原文格式 PDF
正文语种 eng
中图分类四肢外科学;
关键词
Clavicle; fracture; pneumothorax; internal fixation;

机译：锁骨;骨折;气胸;内部固定;

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专利

1. Postoperative chest radiograph after open reduction internal fixation of clavicle fractures: a necessary practice? [J] . Shubert Daniel J., Shepet Kevin H., Kerns Abigail F., Journal of shoulder and elbow surgery . 2019,第5期

机译：术后胸部射线照相后开放后锁骨骨折内部固定：必要的做法？
2. Conservative management versus open reduction and internal fixation for mid-shaft clavicle fractures in adults - The Clavicle Trial: study protocol for a multicentre randomized controlled trial [J] . Umile G Longo, Sughran Banerjee, Julie Barber, Trials . 2011,第1期

机译：成年人保守治疗中轴锁骨骨折的保守治疗与切开复位内固定术-锁骨试验：一项多中心随机对照试验的研究方案
3. Open reduction and internal fixation of a distal clavicle fracture using a clavicle hook plate [J] . Matthew H. Nett, Michael L. Richardson Radiology Case Reports . 2009,第3期

机译：锁骨钩钢板开放复位并锁骨远端固定内固定
4. DESIGN OF A MULTI-DEGREE-OF-FREEDOM TRACTION AND STABILIZATION DEVICE FOR OPEN REDUCTION AND INTERNAL FIXATION OF DISTAL RADIUS FRACTURES [C] . J. Oeding, S. Bockman, H. Chiu, Design of Medical Devices Conference . 2021

机译：用于开放减少和稳定装置的多程度自由度和稳定装置的远端半径裂缝的内固定
5. Biomechanical Evaluation of Hybrid, Bicortical and Unicortical, Screw Configurations for Internal Bone Plate Fixation of Long Bone Fracture: An In-Vitro Study of Porcine Femur Bone Models. [D] . Gonzalez Quintero, Gabriel Jonas. 2017

机译：混合，双皮质和单皮质，螺钉构型对长骨骨折内部骨板固定的生物力学评估：猪股骨模型的体外研究。
6. Postoperative radiographs or thermal prints after internal fixation of fractures? A study of DHS fixation of hip fractures. [O] . R. M. Pattison, S. Calzada, S. R. Koka, 1996

机译：骨折内固定术后的X光片或热敏照片？ DHS固定髋部骨折的研究。
7. Conservative management versus open reduction and internal fixation for mid-shaft clavicle fractures in adults - The Clavicle Trial: study protocol for a multicentre randomized controlled trial [O] . Umile Giuseppe Longo, Sughran Banerjee, Julie Barber, 2011

机译：成年人中轴锁骨骨折的保守治疗与切开复位内固定术-锁骨试验：一项多中心随机对照试验的研究方案

Postoperative chest radiograph after open reduction internal fixation of clavicle fractures: a necessary practice?

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