The relationship between the fracture of the clavicle which was fixed by torsional-shaped plate and nonunion

VernacularTitle:多维塑形锁骨钢板固定治疗锁骨中段骨折与术后骨不连的关系探讨
Author: Jian GAO ; Zhimin SHEN ; Bin XU ; Chong GAO
Keywords: Clavicular fracture; Fracture fixation; Torsional-shaped plate; Nonunion of bone
From: Chinese Journal of Primary Medicine and Pharmacy 2017;24(3):418-420
CountryChina
Language:Chinese
Abstract: Objective To discuss the relationship between the fracture of the clavicle which was fixed by tor-sional-shaped plate and nonunion after operation.Methods Retrospective analysis was conducted in 426 patients with midshaft clavicle fractures.Among the patients,the A group used torsional-shaped plate to meet the anatomical structure of the clavicle:the medial plate matched under the front face of the clavicle,and the lateral plate matched the up face of the clavicle.And the traditional method was used in the B group.Patients were followed up for at least 12 months,the patients were judged by X-ray criteria for nonunion.Results A total of 28 patients with nonunion, including 4 cases in A group,24 cases in B group.After statistics processing,the difference between A group and B group was significant (χ2 =6.679,P=0.010).Conclusion We find that the treatment of the fracture of the middle part of the clavicle with torsional-shaped plate can effectively reduce the incidence of nonunion.