|
KMID : 0386419940070010087
|
|
Journal of the Korean Fracture Society
1994 Volume.7 No. 1 p.87 ~ p.94
|
|
|
Primary Open Reduction of the clavicular Shaft Fractures in Adults
|
|
강충남
왕진만/노권재/윤여헌/김동준/김철민
|
|
|
Abstract
|
|
|
The clavicle plays very important role in the motion of the shoulder girdle and maintenance of power and stability of the arm. The most clavicular shaft fractures can be treated by conservative methods with a high rate of union and low rate of
complications. The operative treatment in clavicular fractures is limited in such as wide separation of the fragments with soft tissue interposition, nonunion, or neurovascular involvements, From 1989 to 1991, eighty six consecutive patients with
clavicular shaft fractures were treated at Ewha Womans University Hospital. Fifty eight patients were treated conservatively(Group I) and twenty eight patients operatively(Group II).
@ES Authors compared both groups and obtained the following results;
@EN 1. The most common cause of injuries was the traffic accident and the most common associated skeletal injury around the shoulder was the rib fracture.
2. The degree of comminution and displacement of the clavicular shaft fracture were more severe in Group II.
3. The average time to union was 8.7 weeks in Group I and 10.3 weeks in Group II.
4. The average rate of union at 4 months was 93.1% in Group I and 96.4% in Group II.
5. The functional result was good or excellent in over 90% in both Groups according to the Kang's criteria.
6. The rate of complication was 8.6% in Group I(one nonuion, three delayed unions and one malunion) and 3.6% in Group II(only one cases of nonuion)
7. The immobilization perios was between 6 to 8 weeks in Group I and within 4 weeks in Group II in most cases.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|