Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Mini-T Plate Fixation for Neer Type II Distal Clavicle Fracture

Neer 분류 제 2형 원위부 쇄골 골절의 mini-T형 금속판 고정

  • Yum, Jae-Kwang (Department of Orthopedic Surgery, Sanggye Paik Hospital, School of Medicine, Inje Univ.) ;
  • Lee, Sang-Lim (Department of Orthopedic Surgery, Sanggye Paik Hospital, School of Medicine, Inje Univ.) ;
  • Ra, Ho-Jong (Department of Orthopedic Surgery, Sanggye Paik Hospital, School of Medicine, Inje Univ.)
  • 염재광 (인제대학교 의과대학 상계백병원 정형외과학교실) ;
  • 이상림 (인제대학교 의과대학 상계백병원 정형외과학교실) ;
  • 라호종 (인제대학교 의과대학 상계백병원 정형외과학교실)
  • Published : 2009.06.15
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Abstract

Purpose: To evaluate and report the clinical and radiological outcomes of open reduction and internal fixation with a mini-T plate for unstable distal clavicle fractures. Materials and Methods: From December 2004 to July 2007, fifteen patients who had a fracture of the distal clavicle (Neer type II fracture) were treated with an open reduction and internal fixation using a mini-T plate. They were followed up for a minimum of one year and the clinical and radiological results were analyzed. Results: The average time to fracture union was 3.1(3~4) months. There were no complications, such as deep infection or fixation loss. The mean ASES score was 97 points (85~100points) at the last follow up period, and 14 patients had a full range of motion of the shoulder. Conclusion: Open reduction and internal fixation with a mini-T plate for unstable distal clavicle fracture is a good surgical method with good clinical and radiological results.

목적: 불안정성 쇄골 원위부 골절에 대하여 mini-T 금속판을 이용한 수술적 치료를 시행 후 임상적 및 방사선학적 결과를 알아보고자 하였다. 대상 및 방법: 2004년 12월부터 2007년 7월까지 쇄골 원위부 골절 중 Neer 분류 제 2형인 불안정성 골절에 대하여 mini-T 금속판을 이용한 수술을 시행한 환자 중 1년 이상 추시 관찰이 가능하였던 15예를 대상으로 임상적 및 방사선학적 결과를 분석하였다. 결과: 방사선학적 골유합은 평균 3.1개월(3~4개월)에 이루어졌으며 심부 감염이나 고정 실패 등의 합병증은 없었다. 최종 추시 시 미국 견주관절학회 평가 점수(ASES score)는 평균 97점(85~100점)으로 양호한 결과를 보였으며, 견관절의 운동 범위도 1예를 제외하고 모든 예에서 정상으로 회복된 소견을 보였다. 결론: 불안정성 쇄골 원위부 골절에 대하여 mini-T 금속판을 이용한 수술 방법은 양호한 임상적 및 방사선학적 결과를 보여 좋은 수술 방법으로 사료되나 더 많은 증례를 통한 장기적인 결과 분석이 필요하리라 생각된다.

Keywords

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