Journals / Erciyes Tıp Dergisi / 2003 / Cilt: 25 - Sayı: 4

Klavikula kırıklarında psödoartroz

Non-union of fractures of clavicle

Pages
193–199
Publication Date
2022-10-17
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: We conclude that the use of an LC-DCP with autologous bone-grafting is a reliable method of treating ununited fractures or non-unions of the clavicle.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose:The aim of this retrospective study was to compare the results of the techniques of dynamic compression plating (DCP) or low-contact dynamic compression plaques (LC-DCP) applied to patients for internal fixation and bone grafting of non-union of the clavicle.
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Key Findings & Data:Patients and Methods: There were 11 atrophie and four hypertrophie non-unions in the DCP treated group and 13 atrophie and six hypertrophie non-unions in the LC-DCP treated group.
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Conclusion & Impact:Conclusion: We conclude that the use of an LC-DCP with autologous bone-grafting is a reliable method of treating ununited fractures or non-unions of the clavicle.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose:The aim of this retrospective study was to compare the results of the techniques of dynamic compression plating (DCP) or low-contact dynamic compression plaques (LC-DCP) applied to patients for internal fixation and bone grafting of non-union of the clavicle. Patients and Methods: There were 11 atrophie and four hypertrophie non-unions in the DCP treated group and 13 atrophie and six hypertrophie non-unions in the LC-DCP treated group. The patients' everyday activities and general post-operative quality of life were estimated with the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The average follow-up period of the cases treated with DCP was 6.2 years (range 2-10 years) and that of the cases treated with LC-DCP was 3.4 years (range 2-6 years). Results: In the group treated with DCP the mean DASH function/symptom score was 9.2$pm$2.0 points. Mean DASH function /symptom score was 8.7$pm$1.1 points in the group treated with LC-DCP. Conclusion: We conclude that the use of an LC-DCP with autologous bone-grafting is a reliable method of treating ununited fractures or non-unions of the clavicle.

Özet

Amaç: Bu çalışmada, klavikula pseudoartrozu nedeniyle kemik grefti ile birlikte tedavi ettiğimiz, Dinamik Kompresyon Plakları (DCP) ile tesbit uygulanan 15 ve Low-contact Dinamik Kompresyon Plakları (LC-DCP) ile tesbit edilen 19 hastanın sonuçlarını retrospektif olarak karşılaştırmayı amaçladık. Hastalar ve Yöntem: DCP ile 11 atrofik ve dört hipertrofik pseudoartroz tedavi edilirken, 13 atrofik ve altı hipertrofik pseudoartrozuna LC-DCP ile tesbit yapıldı. Hastaların günlük aktiviteleri ve ameliyat sonrası yaşam kalitesi Disabilities of the Arm, Shoulder and Hand (DASH) sorgulaması ile değerlendirildi. DCP ile tedavi edilen grupta ortalama takip süresi 6.2 yıl (2-10 yıl) ve LC-DCP ile tedavi edilen grupta ise ortalama 3.4 yıl (2-6 yıl) idi. Bulgular: DASH fonksiyon/semptom skoru DCP ile tdeavi edilen grupta 9.2$pm$12.0 puan iken LC-DCP ile tedavi edilen grupta 8.7$pm$1.1 puan idi. Sonuç: Klavikula pseudoartrozlarınm tedavisinde otojen kemik grefti ile birlikte LC-DCP ile tesbit başarılı bir tedavi yöntemidir.

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Cite This Article

AVŞAROĞULLARI, L., KARAOĞLU, S., KABAK, Ş., HALICI, M., TUNCEL, M. (2022). Klavikula kırıklarında psödoartroz. Erciyes Tıp Dergisi, Cilt: 25 - Sayı: 4, 193–199. https://ajindex.com/articles/502870

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References (18)

  1. Post M. Current concepts in the treatment of fractures of the clavicle.Clin Orthop 1989; 245:89-101
  2. Craig EV. Fractures of clavicle.In: Rockwood Jr CA,Green DP,Bucholz RW,Heckman JD,eds. Fractures in adults,Vol. 1,4 rd Ed. Philadelphia:Lippincott, 1996. pp. 1109-1155
  3. Howard FM, Shafer SJ. İnjuries to the clavicle with neurovascular complications:A study of fourteen cases. J Bone Joint Surg 1965;47- A:1335-1346
  4. Jupiter JB, Leffert RD. Non-union of the clavicle: Associated complications and surgical management. J Bone Joint Surg 1987;69- A:753-760
  5. Wilkins RM, Johnston RM. Ununited fractures of the clavicle. J Bone Joint Surg 1983;65- A:773-778
  6. Manske DJ, Szabo RM. The operative treatment of midshaft clavicular nonunions. J Bone Joint Surg 1985;67-A:13671371
  7. Neer CS II. Nonunion of the clavicle. JAMA 1960; 172:1006-1011
  8. Boehme D, Curtis RJ Jr, DeHaan JT, et al.The treatment of nonunion fractures of the clavicle with an intramedullary Hagie pin and autogenous bone graft. J Bone Joint Surg 1991;73-A: 1219-1226
  9. Wu CC, Shih CH, Chen WJ, et al. Treatment of clavicular aseptic nonunion: Comparison of plating and intramedullary nailing techniques. J Trauma 1998;45:512-516
  10. Escola A,Vainionpaa S, Myllyen P, et al. Surgery for ununited clavicle fracture. Acta Orthop Scand 1986;57:366-367
  11. Sakellarides H. Pseudarthrosis of the clavicle: a report of twenty cases. J Bone Joint Surg 1961;43-A:130-138
  12. Taylor AR. Nonunion of fractures of the clavicle:a review of 31 cases. J Bone Joint Surg 1969;51-B:568-569
  13. Karaharju E, Joukainen J, Peltonen J. Treatment of pseudarthrosis of the clavicle. Injury 1982;13:400-407
  14. Boyer MI, Axelrod TS. Atrophic nonunion of clavicle.Treatment by compression plate,lag- screw fixation and bone graft. J Bone Joint Surg 1997;79-B:301-303
  15. Bradbury N, Hutchinson J, Hahn D, et al. Clavicular nonunion:31/32 healed after plate fixation and bone grafting. Acta Orthop Scand 1996;67:367-370
  16. Davids PHP, Luitse JSK, Strating RP, et al. Operative treatment for delayed union and nonunion of midshaft clavicular fractures: AO reconstruction plate fixation and early mobilization. J Trauma 1996;40:985-986
  17. Mullaji AB, Jupiter JB. Low-contact dynamic compression plating of the clavicle. Injury 1994;25:41-45
  18. Seiler JG, Jupiter JB. Intercalary tricortical iliac crest bone grafts for treatment of chronic clavicular nonunion with bony defect. J Orthop Techniques 1993;1:19-22. 19.