[Surgical treatment of internal fixation failure after clavicular fracture operation].
Beijing Da Xue Xue Bao Yi Xue Ban
; 46(5): 766-70, 2014 Oct 18.
Article
en Zh
| MEDLINE
| ID: mdl-25331402
ABSTRACT
OBJECTIVE:
To investigate the surgical treatment results of implant failure after clavicular fracture open reduction and internal fixation (ORIF).METHODS:
Fifteen cases from Jan. 2005 to Jan. 2013 were treated surgically according to fracture classification, time of implant failure and implant type. The fracture union, shoulder function and pain were evaluated postoperatively.RESULTS:
All the patients had full follow-up for 5 to 101 months (mean 43.8 months). All the fractures were united well. The constant scores to assess the shoulder function were 82 to 100 (mean 93.3 in the fracture side) and were 85 to 100 (mean 96.7 in the uninjured side); statistically significant difference of the constant scores between the two sides was found (P=0.02). Eight cases did not have shoulder pain in the fracture side, while the other 7 cases had mild pain, The visual analogue scale (VAS) scores to evaluate shoulder pain were 1 to 3 in the fracture side, which were statistically different from those in the uninjured side (P=0.03).CONCLUSION:
Implant instability causes early implant failure after clavicular fracture ORIF and re-fixation with stable implant is effective. Fracture nonunion leads to late implant failure, and bridging fixation using locking plate associated with bony autograft with iliac crest is a successful method to treat atrophy clavicular nonunion. Surgical treatment can bring good results.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Clavícula
/
Fracturas Óseas
/
Fijación Interna de Fracturas
Límite:
Humans
Idioma:
Zh
Revista:
Beijing Da Xue Xue Bao Yi Xue Ban
Asunto de la revista:
MEDICINA
Año:
2014
Tipo del documento:
Article
País de afiliación:
China