MINIMALLY INVASIVE OSTEOSYNTHESIS FOR CLAVICULAR FRACTURE WITH LOCKED PLATE.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2023-05-01 eCollection Date: 2023-01-01 DOI:10.1590/1413-785220233102e263742

Felipe Machado DO Amaral, Eduardo Angeli Malavolta, Fernando Brandão DE Andrade E Silva, Leandro Sossai Altoé, Cassio Velloso Nunes, José Ricardo Pécora

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Abstract

Objective: To evaluate the clinical and radiographic results of the surgical treatment of fractures of the middle third of the clavicle, using the technique of minimally invasive plate osteosynthesis (MIPO) with locking.

Methods: Prospective case series, evaluating displaced fractures of the middle third of the clavicle submitted to MIPO with locking, with procedures performed by a single surgeon. Patients were evaluated at 12 months using the University of Los Angeles (UCLA) scale and anteroposterior radiographs of the clavicles with 45° cranial and caudal inclination, as well as reporting complications.

Results: In total, 15 patients were evaluated. The median of surgical time was 50 minutes (IQR 35). The UCLA scale had a median of 35 (IQR 2) at 12 months. All patients presented fracture healing. Minor complications occurred in three cases (20%), with two (13.3%) evolving with plate prominence and one (6.7%) with local paresthesia, while major complications occurred in only one case (6.7%), with suture dehiscence requiring surgical re-approach.

Conclusion: MIPO with locking is a viable option for the treatment of displaced fractures of the middle third of the clavicle, with excellent results according to the UCLA scale, fracture healing in all cases, and a low rate of complications. Level of Evidence IV, Case Series.

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用锁定钢板对锁骨骨折进行微创骨合成术。

目的评估锁骨中1/3骨折的临床和放射学治疗效果，采用带锁定的微创钢板骨合成（MIPO）技术：方法：前瞻性病例系列，评估锁骨中三分之一移位骨折的锁定微创钢板骨合成术（MIPO），手术由一名外科医生完成。采用洛杉矶大学（UCLA）量表和锁骨头尾倾斜45°的前胸X光片对患者进行12个月的评估，并报告并发症：共对 15 名患者进行了评估。手术时间中位数为 50 分钟（IQR 35）。12 个月后，UCLA 评分的中位数为 35（IQR 2）。所有患者的骨折均已愈合。3例（20%）患者出现轻微并发症，其中2例（13.3%）出现钢板突出，1例（6.7%）出现局部麻痹，仅1例（6.7%）出现严重并发症，缝合开裂，需要重新手术：结论：锁骨中1/3移位骨折的MIPO锁定术是一种可行的治疗方案，根据UCLA评分标准，效果极佳，所有病例骨折均愈合，并发症发生率低。证据等级 IV，病例系列。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.