https://scholars.lib.ntu.edu.tw/handle/123456789/84137
Title: | Surgical Treatment for Non-Union of the Mid-Shaft Clavicle Using a Reconstruction Plate: Scapular Malposition Is Related to Poor Results | Authors: | HUANG, TENG-LE LIN, FENG-HUEI HSU, HORNG-CHAUNG |
Keywords: | Clavicle fracture;Non-union;Reconstruction plate;Scapula | Issue Date: | 2009 | Start page/Pages: | 231-235 | Source: | Injury | Abstract: | A retrospective study was performed to evaluate the use of an AO reconstruction plate in open reduction and internal fixation for non-union of the mid-shaft clavicle, examining the relationship between the position of the scapula and final functional results and whether perioperative variables such as clavicular reconstruction ratio and period of non- union influence the position of the scapula. From January 1998 to January 2005, data on 21 people with symptomatic non -union of the mid- shaft clavicle were collected; 17 non- unions were atrophic and 4 were hypertrophic. Initially, treatment was conservative with a figure-of-eight bandage in 19 cases, and cerclage wire fixation in 2 cases. The follow - up period was 65.7 (24-108) months. Outcome analyses included standard clinical follow-up, plain radiography. the Constant-Murley scoring and subjective assessment. All non- unions united well in 13.6 (11-27) weeks. All patients were satisfied with their surgical results. Greater age and longer period of non-union resulted in a larger amount of scapular malposition, which related to poor functional results. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/188804 | DOI: | 10.1016/j.injury.2008.06.043 |
Appears in Collections: | 醫學工程學研究所 |
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