전위성 쇄골 간부 골절에서의 재건 잠김 압박 금속판 고정술

Abstract

We evaluated the clinical results, radiologic results and complications of 38 cases of displaced clavicle midshaft fractures who were treated with open reduction and reconstruction locking compression plate fixation. Bony union was confirmed from the serial simple radiographs and the clinical outcomes were assessed according to Quick DASH (Disability of the Arm, Shoulder and Hand), ASES (American Shoulder and Elbow Society), and UCLA (University of California, Los Angeles) scoring system. All cases had bony union and the mean union period was 13.4 weeks. The average Quick DASH, ASES, and UCLA scores were 32.1, 90.4, and 31.7, respectively. Postoperative complications included 5 cosmetic problems such as hypertrophic scar or skin protrusion by metal, 3 failure of removal of locking screw including a refracture after metal removal, 2 stiff shoulder, 1 periprosthetic fracture. Reconstruction locking compression plate fixation in displaced clavicle midshaft fractures can be shaped to match the contour of the clavicle and provide excellent fixation strength, thereby obtaining satisfactory outcomes. However, the possibility of failure to remove locking screw must be considered.