Infection after Surgical Reconstruction of a Clavicle Fracture Using a Reconstruction Plate: A Report of Seven Cases

利用重建型骨板治療鎖骨骨折之後所見之感染

劉秉政(Ping-Cheng Liu) ； 謝智新(Chih-Hsin Hsieh) ； 陳建志(Jian-Chih Chen) ； 盧政昌(Cheng-Chang Lu) ； 卓進益(Chin-Yi Chuo) ； 簡松雄(Song-Hsiung Chien)

《The Kaohsiung Journal of Medical Sciences》 24卷1期 (2008/01) Pp. 45-49

摘要

傳統上對於中段鎖骨骨折建議使用保守性的治療，然而其遺存後遺症之機率卻相當高。隨著開刀技術與內固定植入物的進步，利用重建型骨板治療鎖骨骨折已廣為接受。術後感染是一潛在的併發症，文獻上報告發生的比率為0.4到7.8%，我們的經驗為4.9%。7個病人之中5人屬於一個月內的急性感染，平均天數為28天，其中1人為傷口裂開而其餘四人是有流膿的情形。另外2人是亞急性感染，分別為72天及103天，表現出局部紅腫或鋼釘鬆脫的情形。早期發現感染的症狀，開刀進行廣泛性清創並移除所有內固定植入物獲得相當良好的結果。

關鍵字

鎖骨骨折 ； 感染 ； 重建型骨板

並列摘要

Mid-shaft clavicle fractures have traditionally been treated conservatively, although this has been associated with non-union and unsatisfactory shoulder function. The preferred approach is plate fixation, with a reconstruction plate for open reduction and internal fixation. Infection is a potential complication after such surgery, with rates of 0.4-7.8% reported in the literature. In our cases, an infection rate of 4.9% (7 of 142 patients) was noted; five of the seven patients suffered from acute postoperative infection within 1 month of surgery. The average time to presentation with an infection was 28 (23-32) days, with signs and symptoms of wound dehiscence in one patient and sinus discharge in four patients. Two patients suffered from subacute infections, with durations of 72 and 103 days, presenting with local heat and radiographic findings of screw loosening. Six of the cases healed with primary bony union after intensive debridement and early removal of the implants.

並列關鍵字

clavicle fracture ； infection ； reconstruction plate