Operative treatment of complex fractures of midshaft clavicle using a locking plate: a comparison be-tween mini-invasive plate osteosynthesis ( MIPO ) and conventional open reduction
10.3760/cma.j.issn.1671-7600.2018.01.012
- VernacularTitle:经皮微创与传统切开复位锁定钢板内固定治疗成人复杂锁骨中段骨折的疗效比较
- Author:
Langqing ZENG
1
;
Lulu ZENG
;
Yunfeng CHEN
;
Yuwen JIANG
;
Hui YANG
;
Zhirong LIN
;
Peng ZHAN
;
Yuanhui LI
Author Information
1. 519000,暨南大学附属珠海医院(珠海市人民医院)创伤骨科
- Keywords:
Clavicle;
Fractures,bone;
Surgical procedures;
minimally invasive;
Fracture fix-ation,internal;
Bone plates
- From:
Chinese Journal of Orthopaedic Trauma
2018;20(1):68-72
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical outcomes of mini-invasive plate osteosynthesis ( MIPO ) and conventional open plating for complex fractures of midshaft clavicle. Methods The authors retrospec-tively reviewed the data of complex fractures of midshaft clavicle ( AO/OTA types 15-B2 and 15-B3 ) which had been treated with MIPO or conventional open plating between January 2010 to February 2016. Forty-one patients were treated with MIPO and 43 with conventional open plating. The 2 groups were compared in terms of incision length, hospital stay, bone union time, postoperative Constant score and Disabilities of the Arm, Shoulder and Hand ( DASH ) score, patients'satisfaction and complications. Results The average follow-up was 21. 2 ± 9. 2 months for MIPO group and 23. 1 ± 11. 8 months for conventional open plating group. The incision length ( 4. 3 ± 0. 5 cm ) , hospital stay ( 7. 7 ± 1. 9 d ) and union time ( 10. 6 ± 3. 2 w ) in the MIPO group were signifi-cantly shorter than those in the conventional open plating group ( 8. 4 ± 1. 3 cm, 9. 6 ± 3. 1 d and 12. 3 ± 3. 9 w, respectively ) ( P <0. 05 ) . The MIPO group had significantly lower incidences of hypertrophic scarring and dysesthesia in the area of incision but significantly higher patients'satisfaction than the conventional open plating group ( P <0. 05 ) . There were no significant differences in the Constant score or DASH score at 3 months, 6 months and the final follow-up ( P > 0. 05 ) . Conclusion In the treatment of complex fractures of midshaft clavicle, although both MIPO and conventional open plating can lead to similar functional outcomes, MIPO may be advantageous over conventional open plating in smaller surgical incision, more rapid fracture union, shorter hospital stay and higher patients'satisfaction.
