지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.12
- 수록면
- 227 - 233 (7page)
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초록· 키워드
오류제보하기
Background: The purpose of this study was to compare the radiologic results of patients who underwent surgery with a hook plate and a locking plate in distal clavicle fractures.
Methods: Sixty patients underwent surgical treatment for Neer type IIa, IIb, III, and V distal clavicle fracture. Twenty-eight patients underwent fracture fixation with a hook plate and 32 with a locking plate. Coracoclavicular distance was measured on standard anteroposterior radiographs before and after the surgery, and union was confirmed by radiograph or computed tomography taken at 6 months postoperatively. Other radiologic complications like osteolysis was also checked.
Results: Bony union was confirmed in 59 patients out of 60 patients, and 1 patient in the hook plate group showed delayed union. Coracoclavicular distance was decreased more in the hook plate group after surgery (p<0.01). After 6 weeks of the hook plate removal, the coracoclavicular distance was increased a little compared to before metal removal, but there was no difference compared to the contralateral shoulder. Eleven out of 28 patients (39.3%) showed osteolysis on the acromial undersurface in the hook plate group.
Conclusions: Both the hook plate group and the locking plate group showed satisfactory radiologic results in distal clavicle fractures. Both hook plate and locking plate could be a good treatment option if it is used in proper indication in distal clavicle fracture with acromioclavicular subluxation or dislocation.
Methods: Sixty patients underwent surgical treatment for Neer type IIa, IIb, III, and V distal clavicle fracture. Twenty-eight patients underwent fracture fixation with a hook plate and 32 with a locking plate. Coracoclavicular distance was measured on standard anteroposterior radiographs before and after the surgery, and union was confirmed by radiograph or computed tomography taken at 6 months postoperatively. Other radiologic complications like osteolysis was also checked.
Results: Bony union was confirmed in 59 patients out of 60 patients, and 1 patient in the hook plate group showed delayed union. Coracoclavicular distance was decreased more in the hook plate group after surgery (p<0.01). After 6 weeks of the hook plate removal, the coracoclavicular distance was increased a little compared to before metal removal, but there was no difference compared to the contralateral shoulder. Eleven out of 28 patients (39.3%) showed osteolysis on the acromial undersurface in the hook plate group.
Conclusions: Both the hook plate group and the locking plate group showed satisfactory radiologic results in distal clavicle fractures. Both hook plate and locking plate could be a good treatment option if it is used in proper indication in distal clavicle fracture with acromioclavicular subluxation or dislocation.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (28)
참고문헌 신청
[학술지(정기간행물)] - Edwards DJ / 1992 / Fractures of the distal clavicle : a case for fixation / Injury 23 (1) : 44 ~ 46
[학술지(정기간행물)] - van der Meijden OA / 2012 / Treatment of clavicle fractures : current concepts review / J Shoulder Elbow Surg 21 (3) : 423 ~ 429
[학술지(정기간행물)] - Kao FC / 2001 / Treatment of distal clavicle fracture using Kirschner wires and tension-band wires / J Trauma 51 (3) : 522 ~ 525
[학술지(정기간행물)] - Anderson K / 2003 / Evaluation and treatment of distal clavicle fractures / Clin Sports Med 22 (2) : 319vii ~ 326vii
[학술지(정기간행물)] - Badhe SP / 2007 / Tension band suturing for the treatment of displaced type 2 lateral end clavicle fractures / Arch Orthop Trauma Surg 127 (1) : 25 ~ 28
[학술지(정기간행물)] - van der Meijden OA / 2012 / Treatment of clavicle fractures : current concepts review / J Shoulder Elbow Surg 21 (3) : 423 ~ 429
[학술지(정기간행물)] - Kao FC / 2001 / Treatment of distal clavicle fracture using Kirschner wires and tension-band wires / J Trauma 51 (3) : 522 ~ 525
[학술지(정기간행물)] - Anderson K / 2003 / Evaluation and treatment of distal clavicle fractures / Clin Sports Med 22 (2) : 319vii ~ 326vii
[학술지(정기간행물)] - Badhe SP / 2007 / Tension band suturing for the treatment of displaced type 2 lateral end clavicle fractures / Arch Orthop Trauma Surg 127 (1) : 25 ~ 28
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UCI(KEPA) : I410-ECN-0101-2019-514-000210722