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Reconstruction plate internal fixation of clavicular fracture
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Reconstruction plate internal fixation of clavicular fracture
[Abstract] Objective To analyze the reconstruction plate fixation of clavicular fracture of clinical efficacy. Methods from September 2001 to September 2006, the use of reconstruction plate fixation for the treatment of 52 cases of clavicular fracture. Results All patients were followed up for 8 ~ 14 month, an average of 11 months. fractures healed, with an average healing time of 6 months. Conclusions reconstruction plate fixation fracture, fixation, simple operation, can reduce complications and to obtain better results.
[Keywords:] fracture, reconstruction plate internal fixation
Since September 2001 to September 2006, our hospital with reconstruction plate fixation of clavicular fracture in 52 cases, results were satisfactory, are as follows.
1 Clinical data
1.1 General information on this group of 52 cases, 41 males and 11 females, aged 20 to 52 years, average 38.5 years old. The causes of injury: road accident in 38 cases, 10 cases of fall injury, others injured in 4 cases. Which fracture 47 cases, transverse and oblique fracture in 5 cases. without openness and neurovascular injury.
1.2 The selection of treatment in all cases of brachial plexus and neck plexus anesthesia, the patient supine, the high risk of shoulder pads. Along the direction of the clavicle for about 6 ~ 8 cm incision in layers and cut to the clavicular stump. Removal stump bleeding and clotting block. to preserve the periosteum on the bone and soft tissue, first to the big bone screws fixed to the proximal and distal fractures. the small bones to wire or 10 temporary fixation with absorbable suture. reset, the plastic reconstruction plate carefully shape and collarbone Futie, put in the top or front of the fixed clavicle fracture distance segment at least three screws. removal of the temporary fixed wire or absorbable suture. The operation time 40 ~ 80 min, an average of 55 min.
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