지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.12
- 수록면
- 175 - 180 (6page)
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초록· 키워드
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Background: For Neer type IIB fracture of distal clavicle with coracoclavicular ligament injury, various surgical treatments have been used in literatures. However, there was no consensus on the optimal treatment. The aim of this study is to report the clinical and radiological results of open reduction and internal fixation of unstable distal clavicle fracture and suture augmentation of disrupted coracoclavicular ligament.
Methods: A prospective study was performed in 23 patients with Neer type IIB distal clavicle fracture in Seoul Medical Center, Eulji Hospital, and National Medical Center. Firstly, suture anchors are inserted in the base of coracoid process and preliminary reduction was achieved by tie-off of three suture limbs around the clavicle. Then, the final fixation was completed with anatomical locking plate. Bony union and the distance between coracoclavicular ligaments were evaluated. Clinical results and complications including stiffness and secondary procedures were evaluated.
Results: Bony union was achieved in all cases except one (22 of 23). At mean 14.9 months, no significant difference in the mean coracoclavicular distance was observed compared to uninjured shoulder (8.2 ± 7.9 mm versus 7.3 ± 3.4 mm, p=0.14). Pain visual analogue scale, American Shoulder and Elbow Surgeons score, Constant score, and Disabilities of the Arm, Shoulder and Hand score were 0.5, 83.4, 78.5, and 6.2, respectively. Revision surgery was performed in one case of nonunion. Four patients who complained of skin irritation underwent implant removal.
Conclusions: In cases of an unstable distal clavicle fracture with coracoclavicular ligament disruption, satisfactory clinical results were obtained by locking plate fixation and coracoclavicular ligament suture augmentation concurrently.
Methods: A prospective study was performed in 23 patients with Neer type IIB distal clavicle fracture in Seoul Medical Center, Eulji Hospital, and National Medical Center. Firstly, suture anchors are inserted in the base of coracoid process and preliminary reduction was achieved by tie-off of three suture limbs around the clavicle. Then, the final fixation was completed with anatomical locking plate. Bony union and the distance between coracoclavicular ligaments were evaluated. Clinical results and complications including stiffness and secondary procedures were evaluated.
Results: Bony union was achieved in all cases except one (22 of 23). At mean 14.9 months, no significant difference in the mean coracoclavicular distance was observed compared to uninjured shoulder (8.2 ± 7.9 mm versus 7.3 ± 3.4 mm, p=0.14). Pain visual analogue scale, American Shoulder and Elbow Surgeons score, Constant score, and Disabilities of the Arm, Shoulder and Hand score were 0.5, 83.4, 78.5, and 6.2, respectively. Revision surgery was performed in one case of nonunion. Four patients who complained of skin irritation underwent implant removal.
Conclusions: In cases of an unstable distal clavicle fracture with coracoclavicular ligament disruption, satisfactory clinical results were obtained by locking plate fixation and coracoclavicular ligament suture augmentation concurrently.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (22)
참고문헌 신청
1. [학술지(정기간행물)] - Flinkkilä T / 2014 / TightRope versus clavicular hook plate fixation for unstable distal clavicular fractures / Eur J Orthop Surg Traumatol
2. [학술지(정기간행물)] - Lee SK / 2014 / Locking compression plate distal ulna hook plate as alternative fixation for fifth metatarsal base fracture / J Foot Ankle Surg 53 (5) : 522 ~ 528
3. [학술지(정기간행물)] - Oh JH / 2011 / Treatment of distal clavicle fracture : a systematic review of treatment modalities in 425 fractures / Arch Orthop Trauma Surg 131 (4) : 525 ~ 533
4. [학술지(정기간행물)] - Nunez FA Jr / 2013 / Distal ulna hook plate : angular stable implant for fixation of distal ulna / J Wrist Surg 2 (1) : 87 ~ 92
5. [학술지(정기간행물)] - Neer CS 2nd / 1963 / Fracture of the distal clavicle with detachment of the coracoclavicular ligaments in adults / J Trauma 3 : 99 ~ 110
2. [학술지(정기간행물)] - Lee SK / 2014 / Locking compression plate distal ulna hook plate as alternative fixation for fifth metatarsal base fracture / J Foot Ankle Surg 53 (5) : 522 ~ 528
3. [학술지(정기간행물)] - Oh JH / 2011 / Treatment of distal clavicle fracture : a systematic review of treatment modalities in 425 fractures / Arch Orthop Trauma Surg 131 (4) : 525 ~ 533
4. [학술지(정기간행물)] - Nunez FA Jr / 2013 / Distal ulna hook plate : angular stable implant for fixation of distal ulna / J Wrist Surg 2 (1) : 87 ~ 92
5. [학술지(정기간행물)] - Neer CS 2nd / 1963 / Fracture of the distal clavicle with detachment of the coracoclavicular ligaments in adults / J Trauma 3 : 99 ~ 110
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UCI(KEPA) : I410-ECN-0101-2016-514-001065241