查詢結果分析
相關文獻
- Comparison of Clinical Results of Surgical Treatment for Unstable Distal Clavicle Fractures by Transacromial Pins with and without Tension Band Wire
- Comparison of the Efficacy of Hook Plate Versus Kirschner Wire in the Surgical Treatment of Unstable Fractures of the Distal Clavicle
- 遠端鎖骨骨折手術的新進展
- Cervical Pin Migration Following Open Reduction and Pinning of a Distal Clavicular Fracture: A Case Report
- Intracardiac Migration of a Steinman Pin Following Fixation of Clavicular Fracture: A Case Report
- Intramedullary Knowles Pin Fixation of Acute Mid-shaft Fractures of the Clavicle in Adults
- 新生兒鎖骨骨折
- Clavicular Fracture in Newborns: A Retrospective Five-Year Analysis
- Combined Midshaft Clavicle Fracture with Acromioclavicular Joint Dislocation in a Judo Player--A Case Report
- Subclavian Artery Pseudoaneurysm after Clavicle Fracture Presenting as Blepharoptosis
頁籤選單縮合
題名 | Comparison of Clinical Results of Surgical Treatment for Unstable Distal Clavicle Fractures by Transacromial Pins with and without Tension Band Wire=經肩鎖關節鋼釘固定並使用或不使用Tension Band Wire治療不穩定型遠端鎖骨骨折之臨床效果比較 |
---|---|
作者 | 崔祐荃; 敖曼冠; 朱唯廉; | 書刊名 | Journal of the Chinese Medical Association |
卷期 | 73:12 2010.12[民99.12] |
頁次 | 頁638-643+CA114 |
分類號 | 416.26 |
關鍵詞 | 鎖骨骨折; 遠端鎖骨骨折; 外側鎖骨骨折; 經肩鎖關節K-wires鋼釘固定; Clavicle fracture; Distal clavicle fracture; Lateral clavicle fracture; Tension band wire; Transacromial K-wire fixation; |
語文 | 英文(English) |
英文摘要 | Background: An unstable distal clavicle fracture (Neer type II) is an indication that surgical intervention is required. Numerous treatment options have been introduced, but there is no gold standard. Methods: We report on our experience of 29 consecutive cases, between 2002 and 2008, of acute unstable distal clavicle fracture (Neer type II) and operative treatment using transacromial pins with tension band wire, and compare the use of this treatment with that of traditional transacromial Kirschner wire fixation. All patients were given postoperative radiological and clinical evaluations at 4, 8 and 12 weeks, and then the final clinical outcome, based on the University of California at Los Angeles shoulder rating, was recorded. Results: The fractures in both groups were clinically united at a mean follow-up of 8.62 weeks (range, 6–20 weeks). Six of the 14 patients (43%) with traditional transacromial Kirschner wire fixation suffered from pin migration and discomfort of skin erosion, 3 had residual displacement, and 1 had a recurrent fracture. In contrast, only 1 patient (7%) in the tension band wire group had residual displacement and pin migration causing skin tenting, and this was made comfortable by pin removal. The complication rate and the University of California at Los Angeles shoulder rating were significantly different between the 2 groups. Conclusion: Transacromial pins with tension band wire provide superior fixation for a type 2 fracture of the distal clavicle, compared with traditional transacromial Kirschner wire fixation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。