Clinical application of bridge-link combined fixation system for adult mid-shaft clavicle fractures.
10.3969/j.issn.1003-0034.2019.01.008
- Author:
Feng NIU
;
Yong MA
1
,
2
;
Tao TIAN
;
Jian-Zhong ZHOU
Author Information
1. Department of Orthopaedics, Nanjing University of Traditional Chinese Medicine, Nanjing 210023, Jiangsu, China
2. zhongyi-my@263.net.
- Publication Type:Journal Article
- Keywords:
Clavicle;
Fracture fixation;
Fractures;
Open fracture reduction
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Bone Plates;
Clavicle;
Female;
Fracture Fixation, Internal;
Fracture Healing;
Fractures, Bone;
surgery;
Humans;
Male;
Middle Aged;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2019;32(1):38-42
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore clinical efficacy of bridge-link combined fixation system for adult mid-shaft clavicle fractures.
METHODS:From January 2016 to August 2016, 28 patients with mid-shaft clavicle fractures were treated by bridge-link combined fixation system, including 15 males and 13 females, aged from 27 to 82 years old with an average of(48.50±15.34) years old; the courses of disease was for 13 to 15 months with an average of (14.17±0.77) months. Fracture healing time and complication were observed, postoperative and postoperative Constant function score of shoulder joint at 1, 3 and 13 months and were compared.
RESULTS:All patients were followed up for 13 to 15 months with an average of (14.17±0.77) months. Twenty-eight patients achieved clinical fracture healing without infection, bone un-union, delayed union, breakage of internal fixation and re-fracture after removing of the internal fixation occurred. Fracture healing time ranged from 2.5 to 4 months with (3.05±0.44) months. Postoperative Constant score at 1, 3 and 13 months were 76.57±4.70, 90.75±3.62, 96.07±2.40 respectively, and had significant difference compared with before operation(58.36±4.98).
CONCLUSIONS:Bridge-link combined fixation system could be used as a new internal fixation for adult mid-shaft clavicle fractures, which has advantages of rapid recovery, less complications, and could reduce incidence of breakage of internal fixation, osteoporosis, re-fractures after removing the internal fixation.