Stainless steel T-shaped locking plate for repair of proximal clavicle fractures and sternoclavicular joint dislocation

doi:10.3969/j.issn.2095-4344.2015.21.025

Abstract

Abstract:

BACKGROUND: Internal fixation methods for traditional proximal clavicle fractures and sternoclavicular joint dislocation include Kirschner wire, Kirschner wire with tension band, clavicular hook plate and ordinary T-shaped plate fixation. However, all of these are easy to fall off, damage nerves and blood vessels and affect the fine motion of the sternoclavicular joint.
OBJECTIVE: To investigate the therapeutic effects of internal fixation with T-shaped stainless steel locking plate on proximal clavicular fractures and sternoclavicular joint dislocation as well as to observe the biocompatibility of materials with the host.
METHODS: Twelve patients with proximal clavicular fractures and sternoclavicular joint dislocation were enrolled at Shanxian Central Hospital from March 2011 to January 2014, including seven cases of proximal clavicular fractures and five cases of sternoclavicular joint dislocation. All of patients were subject to open reduction and internal fixation with T-shaped locking plate.
RESULTS AND CONCLUSION: All the 12 patients were followed up for 3-14 months, with an average of 9 months. All incisions healed well, with no local eminence. No major substernal blood vessels and organ damage occurred. X-ray films showed that fractures healed without further dislocation and steel plate fracture. At the last follow-up, Rockwood scoring system showed that the excellent rate of shoulder function was 100%. These findings indicate that the internal fixation with stainless steel T-shaped locking plate is reliable and effective in the treatment of proximal clavicle fractures and sternoclavicular joint dislocation, with low risks and satisfactory outcomes, by which, patients can maximize the recovery of shoulder function.

中国组织工程研究杂志出版内容重点：生物材料；骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性；组织工程

Key words: Fracture Fixation, Internal, Clavicle, Sternoclavicular Joint, Stainless Steel, Biocompatible Materials, Recovery of Function

CLC Number:

R318

Sun Bao-zhu1, Zhang Zhen-hua2, He Gang2 . Stainless steel T-shaped locking plate for repair of proximal clavicle fractures and sternoclavicular joint dislocation [J]. Chinese Journal of Tissue Engineering Research, 2015, 19(21): 3414-3418.

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