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Clavicular hook plate for lateral end fractures-a prospective study

机译:锁骨钩钢板治疗侧端骨折的前瞻性研究

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摘要

We read this article with interest. It is stated that the hook of the plate acts as a lever to elevate the lateral fragment. In fact, in this case it is the medial fragment that is unstable and displaced superiorly, hence the plate acts as a depressor that brings the medial fragment down.It is generally accepted that Neer's type ill fractures should be managed non-operatively. One third (10 out of 31) of the patients in this series consists of those with Neer's type III fractures. Nevertheless, justification for this choice was not contemplated either in the Material and methods nor in the Discussion. It would be very valuable if the authors would further explain this point.
机译:我们很感兴趣地阅读了这篇文章。据说,板的钩子起杠杆作用,以抬高侧向碎片。实际上,在这种情况下,内侧碎片是不稳定的并且向上移位,因此钢板起着压抑作用,使内侧碎片下降。公认的是,Neer型不适骨折应进行非手术治疗。该系列患者中有三分之一(31名患者中有10名)是患有NeerⅢ型骨折的患者。然而,无论是在材料和方法中还是在讨论中都没有考虑到这种选择的理由。如果作者进一步解释这一点,将非常有价值。

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