Reconstruction Locking Compression Plate Fixation in Surgical Treatment of Displaced Clavicle Midshaft Fractures
Clavicle Midshaft Fractures |
전위성 쇄골 간부 골절에서의 재건 잠김 압박 금속판 고정술 |
이시욱; 조철현 |
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Abstract |
We evaluated the clinical results; radiologic results and complications of 38 cases of displaced
clavicle midshaft fractures who were treated with open reduction and reconstruction locking
compression plate fixation. Bony union was confirmed from the serial simple radiographs and the
clinical outcomes were assessed according to Quick DASH (Disability of the Arm; Shoulder and
Hand); ASES (American Shoulder and Elbow Society); and UCLA (University of California; Los
Angeles) scoring system. All cases had bony union and the mean union period was 13.4 weeks.
The average Quick DASH; ASES; and UCLA scores were 32.1; 90.4; and 31.7; respectively.
Postoperative complications included 5 cosmetic problems such as hypertrophic scar or skin
protrusion by metal; 3 failure of removal of locking screw including a refracture after metal
removal; 2 stiff shoulder; 1 periprosthetic fracture. Reconstruction locking compression plate
fixation in displaced clavicle midshaft fractures can be shaped to match the contour of the clavicle
and provide excellent fixation strength; thereby obtaining satisfactory outcomes. However; the
possibility of failure to remove locking screw must be considered. |
Key Words:
Clavicle, Midshaft fracture,
Reconstruction locking compression plate |