鎖骨遠位端骨折に対する Scorpion Plate ® の手術適応についての検討

概要

論文の詳細を見る
Background: Scorpion Plate doesn't cross AC joint, so can released the abduction limit early. But comminuted fractures and small bone fragments cannot be fixed, so it has been suggested that those fractures should not be treated by Scorpion Plate. The purpose of this study is to investigate the patients fixed by Scorpion Plate retrospectively, and examine the operative indication. Methods: We evaluated 24 patients who were treated by Scorpion Plate at Japanese Red Cross Society, Wakayama Medical Center from 2005 to 2010, and investigated the patients by X-ray and CT scan. Results: The mean size of a major fragment was 17mm at superior aspect and 28mm at inferior aspect. There were 20 patients with 3rd fragment. 12 patients were additionally fixed by the strong suture rolling. The plate position was more distal over the AC joint in 13 patients. One patient displaced postoperatively and was fixed by Wolter Plate, but other patients were able to gain bone union. Conclusions: Comminuted fracture and small bone fragments were fixed in most cases by shifting plate position more distally and using rolling strong suture. So the indication of Scorpion Plate may be wider by using such methods.