Operative treatment of midclavicular fractures in 62 elderly patients: Knowles pin versus plate

被引：71

作者：

Lee, Yih-Shiunn ^{[1
]}

Lin, Chien-Chung ^{[1
]}

Huang, Chien-Rae ^{[1
]}

Chen, Cheng-Nan ^{[1
]}

Liao, Wen-Yun ^{[1
]}

机构：

[1] Taipei City Hosp, Dept Orthoped Surg, Heping Branch, Taipei, Taiwan

来源：

ORTHOPEDICS | 2007年 / 30卷 / 11期

关键词：

D O I：

10.3928/01477447-20071101-13

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This prospective, randomized trial compared treatment with Knowles pins and plates in 62 elderly patients (>50 years) with midclavicular fractures. The clinical outcomes were evaluated at 30 months postoperatively. The mean shoulder score of the Knowles pinning was 85 points and the plating was 84 points (P=.7). Knowles pinning requires significantly shorter operative time (P<.001), smaller wound size (P<.001), shorter hospital stay (P=.03), less meperidine use (P=.02), lower complication rate (P=0.04), and less symptomatic hardware (P=.015). If surgery of mid-third clavicular fractures is indicated, fixation with a Knowles pin has more advantages than plate fixation in elderly patients.

引用

页码：959 / 964

页数：6

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