- 作者：R. Breda ; renaudbreda@yahoo.fr ; E. Van Gaver ; S. Rigal
- 关键词：Clavicule ; Fracture ouverte ; Fixateur externe ; Traitement chirurgical
- 刊名：Journal de Traumatologie du Sport
- 出版年：2009
- 期刊代码：pca241_0762915X
- 类别：med
- 出版时间：September 2009
- 卷：26
- 期：3
- 页码：180-183
- 文件大小：453 K
Introduction
Clavicular fractures are treated by orthopedic means or by surgery with internal fixation. Most open fractures are also treated surgically but the use of external fixator remains exceptional.
Clinical case
It is about a 23-year-old patient presenting secondary punctiform cutaneous opening within the framework of clavicule fracture. The fracture had remained exposed for more than 24 hours. After trimming of the wound and reduction, the stabilization of its fracture was carried out by an external fixator Percy Fx庐. The patient directly began rehabilitation for his upper limb. No infection was noted. On the third month, the callous was solid enough to allow hardware removal simple sedation.
Discussion
The cutaneous opening of the clavicule fractures is rare and represents less than one case over 1000. The open fractures in polytrauma patients are accompanied by other direct vascular, nervous even pulmonary complications. In the case of open fracture, surgery is indicated either by intramedullary nailing or with plate and screw fixation. However, the use of an external fixator is recommended by certain authors. The stabilization of this fracture was carried out by an external fixator whose flexibility, light character and radiotransparency, facilitated the follow up.
Conclusion
Although the installation of an external fixator remains exceptional for the treatment of an open clavicule fracture, this method could be under certain conditions an alternative technique to osteosynthesis.