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.
초록· 키워드
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Purpose: The aim of this study is to evaluate the correlation between the location of the plate and the incidence of clavicularhypoesthesia and the clinical features of patients with clavicular hypoesthesia after open reduction and internal fixationof clavicular midshaft fractures. Materials and Methods: Seventy-eight patients who underwent open reduction and plate fixation for clavicle midshaft fracturesbetween March 2013 and October 2014 were assessed for eligibility. The total clavicular length (A), the distance tothe medial end of the plate from the sternoclavicular joint (B), and the distance to the lateral end of the plate from thesternoclavicular joint (C) were measured. Correlation between the location of the clavicular plate and the incidence of clavicularhypoesthesia was evaluated. In addition, the severity, and recovery of hypoesthesia were evaluated. Patient satisfaction,pain visual analogue scale were evaluated regarding hypoesthesia. Results: The incidence of hypoesthesia was 32.1% (25/78 patients). No correlation was observed with respect to the locationof the clavicular plate and the incidence of clavicular hypoesthesia (p=0.666 at the medial end, p=0.369 at the lateral end). Recovery from hypoesthesia was observed in 23 out of 25 patients (p=0.008). Patient satisfaction and pain showed negativecorrelation with the incidence of hypoesthesia (p=0.002 and p=0.022). Conclusion: There was no correlation between clavicular hypoesthesia and the plate location. Although most cases of hypoesthesiawere recovered, we should try to avoid hypoesthesia due to the negative ‘correlation’ with patient satisfaction andpain.
목차
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참고문헌 (15)
참고문헌 신청
Beirer M / 2015 / Does a minimal invasive approach reduce anterior chest wall numbness and postoperative pain in plate fixation of clavicle fractures? / BMC Musculoskelet Disord 16:128
Canadian Orthopaedic Trauma Society / 2007 / Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial / Bone Joint Surg Am 89:1~10
Hill JM / 1997 / Closed treatment of displaced middle-third fractures of the clavicle gives poor results / J Bone Joint Surg Br 79:537~539
Jeray KJ / 2007 / Acute midshaft clavicular fracture / J Am Acad Orthop Surg 15:239~248
Khan LA / 2009 / Fractures of the clavicle / J Bone Joint Surg Am 91:447~460
Canadian Orthopaedic Trauma Society / 2007 / Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial / Bone Joint Surg Am 89:1~10
Hill JM / 1997 / Closed treatment of displaced middle-third fractures of the clavicle gives poor results / J Bone Joint Surg Br 79:537~539
Jeray KJ / 2007 / Acute midshaft clavicular fracture / J Am Acad Orthop Surg 15:239~248
Khan LA / 2009 / Fractures of the clavicle / J Bone Joint Surg Am 91:447~460
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