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 Posted: Tue 1:19, 22 Mar 2011 Post subject: mbt scarpe prezzi Clavicular hook plate and Kirsch |
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Clavicular hook plate and Kirschner wire fixation of displaced clavicle fracture associated with relatively
Complications; and clavicular hook plate with the same titration While the former is slightly more complex operations, but set within the same reliable, the level of inward and outward resistance to the power of the clavicle, no significant postoperative complications, early mobilization after treatment】 _ l. 3 clavicle fracture generally do not discuss the impact of joint function, non-surgical external fixation has set a long time,[link widoczny dla zalogowanych], forced posture, summer and winter unbearable, malunion and other shortcomings, but so that patients suffering from surgery, without prejudice to the joint function is generally popular traditional methods for old people, children and do not want surgery. Indications of clavicle fractures has always been strictly controlled, if open reduction, periosteal separation,[link widoczny dla zalogowanych], can cause delayed union, nonunion or other shortcomings. Be unstable if the same after reset, the same can lead to delayed union, malunion or nonunion complications. However, most experts believe the domestic treatment of fracture surgery on the bit line in the fracture, bone healing and recovery, was superior to the shoulder joint of non-operation group, and the surgical treatment of non-surgical treatment than one and a half ahead of schedule to resume normal life and work. Although clavicular fractures with open reduction and internal fixed effective and reliable method, however,[link widoczny dla zalogowanych], if the inappropriate choice of many complications, it will lose its advantages. Clavicle fracture nonunion are rare, often due to poor or improper braking caused by surgery, so choose the practical and reliable method and within the same operative setting as much as possible to avoid iatrogenic injury is extremely important to the organization 【cited. We use two kinds of surgery in this group within the same set of methods: (1) Kirschner wire with fixed; (2) the same set clavicular hook plate. Its advantages and disadvantages as follows: intramedullary Kirschner wire with the advantage of small incision titration, simple, safe and reliable operation,[link widoczny dla zalogowanych], easy to take the same set; disadvantage is prone to the same set pin loosening, pin tract infection and postoperative slippage. Kirschner wires may cause fracture of rotation can not effectively control the activities of the other 47 April 2009 Volume 11 aspects of fracture instability, did not use the same given sufficient time outside the triangle. Preventive measures: (1) try to avoid using Kirschner wire for the same given material, in particular fracture. (2) the appropriate plus wire oblique fracture Chou. (3) 2 ~ 2.5mm in diameter is appropriate needle, piercing the cortical bone a little better. (4) regular triangle suspended after 46 weeks or longer braking. Clavicular hook plate are characterized by anatomical shape design [51, in line with the clavicle shape, sharp hook external subacromial joint, little impact on the shoulder, fracture reduction and stability at both ends, which will help fracture healing; allow the acromioclavicular joint micro- move, so that patients can shoulder the early activities conducive to the functional recovery of shoulder patients. For NeerI1 distal clavicle fracture, the fracture can be worn inside the human trapezius muscle, above the back shift, fracture of the lateral displacement due to gravity forward and down, shoulder blades from the outside activities of l arch fracture rotation, prone to cause fracture nonunion; non-surgical treatment is difficult to maintain the long fracture rotation, prone to cause fracture healing; non-surgical treatment is difficult to maintain for a long time after reset the stability of the fracture, so results are not satisfactory. The patients no fixation failure, but surgery should be taken to avoid injury of blood vessels, nerves. Plate pre-bending is the key to good and bad results of operations; also should fix the acromioclavicular ligament, the deltoid and trapezius muscles, help maintain the stability of the role of the acromioclavicular joint. Clavicular hook plate for treatment of clavicle was displaced by a distinct advantage. While the clavicular hook plate fixation of surgical wound more Kirschner wire with El set large, but gentle as long as the surgical procedure,[link widoczny dla zalogowanych], to avoid the rough to minimize soft tissue injury and periosteal stripping, together with the fixed and reliable, is expected to achieve perfect results. In short, the clavicular hook plate of treatment associated with displaced fracture, fixation, reliable, applicable to all types of fractures, especially suitable for use on grinding, long oblique fractures and treatment of irregularities, to participate as soon as possible after treatment El normally. 【
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