锁骨中段骨折  

Midshaft clavicular fractures

作　　者：IanHarris 

出　　处：《中华创伤骨科杂志》2013年第2期153-163,共11页Chinese Journal of Orthopaedic Trauma

摘　　要：3项小样本的随机对照研究和1项回顾性队列研究对锁骨中段骨折的手术治疗与非手术治疗进行了比较，结果提示手术治疗疗效更优，其中手术治疗患者的骨折愈合率更高、愈合时间更短。Summary Evidence from 3 small randomized controlled trials and 1 prospective cohort trial comparing operative treat- ment with nonoperative treatment of midshaft clavicular fractures tends to favor operative care. The proportion of patients achieving union is higher among those receiving operative treatment and the time to union shorter com- pared with nonoperative care. Functional outcomes scores are better for operatively treated patients compared with nonoperatively treated patients, and more opera- tively treated patients are satisfied with the cosmetic ap- pearance of the affected shoulder and overall outcome. Complications after operative treatment included wound or pin track infections, incision site numbness, fracture site pain, or hardware issues, while complications after nonoperative treatment involved delayed union or malu- nion and fracture site pain. Further randomized studies may shed light on which of the several operative methods in use may be preferred.

关 键 词：锁骨中段骨折 非手术治疗 随机对照研究 骨折愈合率 队列研究 治疗疗效 愈合时间 小样本 

分 类 号：R687.3[医药卫生—骨科学]