鎖骨遠位端骨折に対するケーブルロッキングプレート（CW プレート）の有用性
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<B>Background:</B> The hook-pointed plates and the side-hook plates are used mainly for a fracture in the distal end of clavicle. But, it is difficult to fix reliably in the case of comminuted fracture, so, we tried to treat these fracture with a new plate system. The aim of this study was to investigate the outcomes of this plate system compared with the other plates.<BR><B>Methods:</B> Our new plate system has some benefits. Locking screw located at the distal part of the plate will realize reliable fixation. A wiring structure integrated with the plates can deal with crush fractures. 29 fractures in 28 patients were studied. 17 cases were treated with SCORPION etc. (group 1) (12males and 4females) (2008.2 ∼ 2010.6).<BR>12 cases were treated with our plate(group 2)(8males and 4females)(2010.11 ∼ 2011.7). We investigated complications, the ROM of the shoulder and the bone fusion.<BR><B>Results:</B> In group 1, nine cases needed another procedure to fix strongly. There was one non-union case and three delayed-union cases. The ROM of shoulder joint was 143 degrees(110 ∼ 170). The periods for bone fusion were 6 ∼ 14 weeks.(excluding the non-union case)<BR>In group 2, there were no non-union cases. One complication was cable detaching from the clamp. This case had no pain and no ADL disturbance. The ROM of shoulder was 155 degrees (120 ∼ 180).The periods for bone fusion were 5 ∼ 7weeks.<BR><B>Conclusion:</B> The cable wiring and locking screw plate system for the fracture could get superior results compared with another type of plate system.
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