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쇄골 간부 골절의 최소 침습적 경피적 금속판 고정술의 수술적 결과

Surgical Results of Minimally Invasive Percutaneous Plate Fixation in the Treatment of Clavicle Shaft Fracture

대한골절학회지 2019년 32권 1호 p.21 ~ 26
유성호, 강석웅, 서재승,
소속 상세정보
유성호 ( Yoo Seong-Ho ) - 부산대동병원 정형외과
강석웅 ( Kang Suk-Woong ) - 양산부산대학교병원 정형외과
서재승 ( Seo Jae-Seung ) - 부산대동병원 정형외과

Abstract


Purpose: This study analyzed the results of the midclavicle fracture treatment using the minimally invasive percutaneous plate osteosynthesis (MIPO) technique in a retrospective manner.

Materials and Methods: Between March 2013 and March 2017, this study analyzed 40 patients who received MIPO surgery. Excluding 1 patient who underwent surgery on another body part injury, and 4 patients who were lost to follow-up over 1 year, 40 patients were analyzed for their operation time, bone union, functional American Shoulder and Elbow Surgeons score, scar lengths, pain relief (visual analogue scale), and complications.

Results: All patients over a 1 year of follow-up achieved bone union, and American Shoulder and Elbow Surgeons score 97.6 (94?100) on their shoulder functional scores. Their average operation time was 42.7 minutes, and the average scar length was 6.1 cm. Eighteen patients successfully received metal removal using the previous scar without additional incision. The clavicle length was similar in the normal and operated group.

Conclusion: Despite its small sample size, clavicle fixation using the MIPO technique can be considered an effective treatment because of its limited number of complications, such as nonunion and rotational angulations.

키워드

Clavicle shaft fracture; Plate fixation; Minimally invasive percutaneous plate osteosynthesis

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