Research on clavicle cadre fracture and the congruence between bone fracture plate and anatomical classification
ZHANG Xie-zhuo, Yilihamu Tuoheti, LIU Li-guo, HA Si-lu, GAN Zi-ming
Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (1) : 9-14.
Research on clavicle cadre fracture and the congruence between bone fracture plate and anatomical classification
Objective To improve the existing clavicular plate, and to provide the anatomical basis for clinical treatment of clavicular fracture. Methods The relevant data were collected and analyzed form 115 clavicular specimens and radiographic images of 115 cases of clavicular fractures; the compatibility of the two commercially available steel plates for clavicular fractures with the clavicular specimens were carried out, respectively. Results In 115 clavicles, type I, II, and III clavicle accounted, respectively, for 45.2%, 45.2% and 9.6%; in imaging data of 115 cases of clavicle fracture, fractures in the three types of the clavicle accounted for 14.8%, 57.4% and 27.8%, respectively. Fracture of the clavicular shaft is the most common one, accounting for 73.9%; the kappa values of compatibility of the modified steel plate and the conventional plates with the three types of the clavicle was 0.38 and 0.51, respectively. Conclusion The modified steel for clavicular fracture has obvious improvement in compatibility compared with the conventional ones. Our study has certain guiding significance for the clinical application.
Clavicle / Fracture of clavicle / Classification / Measurement / Plate / Matching
[1] DePalma AF. Degenerative Changes in the Sternoclavicular Joints in Various Decades. Springfield, Ill: Charles C Thomas, 1957:116.
[2] Postacchini F, Gumins S, De Santis P, et al. Epidemiology of clavicle fractures[J]. J Shoulder Elbow Surg, 2002,11(5):452-456.
[3] Robinson CM. Fractures of the clavicle in the adult. Epidemiology and classification[J]. J Bone Joint Surg Br,1998,80(3):476-484.
[4] Nadarajah R,Mahaluxmivala J,Amin A,et al. Clavicular hook-plate:complications of retaining the implant[J]. Injury,2005,36(8):681-683.
[5] Postacchini F,Gumina S,De Santis P,et al. Epidemiology of clavicle fractures[J]. J Shoulder Elbow Surg, 2002,11(5):452-456.
[6] 吴克俭, 侯树勋.骨科实用固定技术[M].北京:人民军医出版社,2007:300-319.
[7] Jeray KJ.Acute midshaft clavicular fracture[J]. J Am Acad Orthop Surg,2007, 15(4):239-248.
[8] 敖荣光, 陈云丰. 锁骨骨折的治疗[J]. 国际骨科学杂志, 2008, 29(1): 26-28.
[9] Jubel A, Andermahr J, Schiffer G, et al. Elastic stable intra-medullary nailing of midclavicular fractures with a titanium nail[J]. Clin Orthop Relat Res,2003,408:279-285.
[10]Mueller M, Rangger C, Striepens N, et al. Minimally invasive intramedullary nailing of midshaft clavicular fractures using titanium elastic nails[J]. J Trauma,2008,64(6):1528-1534.
[11]Xu J, Xu L, Xu W, et al. Operative versus nonoperative treatment in the management of midshaft clavicular fractures: a meta-analysis of randomized controlled trials[J]. J Shoulder Elbow Surg, 2014,23(2):173-181.
[12]Canadina Orthopaedic Trauma Society.Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures.A multicenter randomized clinical trial[J].J Bone Joint Surg Am,2007,89(1):1-10.
[13] 胥少汀,葛宝丰,徐印坎. 实用骨科学[M]. 第3版.北京:人民军医出版社, 2005:405-406.
[14] Stanley D,Trowbridge EA,Norris SH. The mechanism of clavicular fracture.A clinical and biomechanical analysis[J].J Bone Joint Surg Br,1988, 70(3): 461-464.
[15] Zlowodzki M,Zelle BA,Cole PA,et al. Treatment of acute midshaft clavicle fractures:systematic review of 2144 fractures:on behalf of the Evidence-Based Orthopaedic Trauma Working Group[J]. J Orthop Trauma,2005,19(7):504-507.
[16]Canadian Orthopaedics Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures.A multicenter,randomized clinical trial[J]. J Bone Joint Surg (Am),2007,89(8):1866.
[17] Throckmorton T,Kuhn JE. Fractures of the medial end of the clavicle[J]. J Shoulder Elbow Surg,2007,16(1):49-54.
[18] 王亦璁. 骨与关节损伤[M]. 第4版. 北京:人民卫生出版社,2009:768-775.
[19] Bradbury N,Hutchinson J,Hahn D,et al. Clavicular nonunion.31/32 healed after plate fixation and bone grafting[J]. Acta Orthop Scand,1996,67(4):367-370.
[20]Jeray KJ. Acute midshaft clavicular fracture[J]. J Am Acad Orthop Surg,2007,15(4):239-248.
[21] 尹律平,吴建国,王达忠,等.锁骨钢板治疗锁骨中段粉碎性骨折[J].中国矫形外科杂志,2008,13(20):1589-1590.
[22]McKee MD,Pedersen EM,Jones C,et al. Deficits following nonoperative treatment of displaced midshaft clavicular fractures[J]. J Bone Joint Surg Am,2006,88(1):35-40.
[23] Jiang C,Wang M,Rong G. Proximally based conjoined tendon transfer for coracoclavicular reconstruction in the treatment of acrom ioclavicular dislocation[J]. J Bone Joint Surg Am,2007,89(11):2408-2412.
[24] Zlowodzki M,Zelle BA,Cole PA,et al. Treatment of acute midshaft clavicle fractures:systematic review of 2144 fractures:on behalf of the Evidence-Based Orthopaedic Trauma Working Group[J]. J Orthop Trauma,2005,19(7):504-507.
[25] 周淑平,石承瓒,范伟杰, 等. 锁骨骨折的治疗进展[J]. 中外医学研究, 2013,11(1):152-154.
[26] 石继祥,曹成福,石文俊, 等. 前置与上置重建钢板固定锁骨中段骨折生物力学性能比较[J]. 中国组织工程研究与临床康复,2010,14(13):2333-2336.
[27] 木合塔乐·阿布拉,伊力哈木·托合提. 肩峰和锁骨形态与肩峰下撞击综合征关系的研究[J]. 新疆医科大学学报,2013,36(4):455-458.
[28] Postacchini F, Gumina S, De Santis P, et al. Epidemiology of clavicle fractures[J]. J Shoulder Elbow Surg, 2002, 11(5):452-456.
[29] Shly S. Rapid prototyping is coming of age [J]. Mechani Eng, 1995, 117(7): 63.
[30] 赵政. 应用三维重建结合快速成型技术治疗锁骨近端骨折[J]. 浙江创伤外科, 2015, (2):321-322.
/
〈 |
|
〉 |