Volume 43 Issue 6
Jun.  2022
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Dingkai ZHOU, Chengyi ZI, Ziyang ZHAO, Xiaofei LI, Rui ZHANG, Yonggang YANG, Jingwu LIAO, Daohong ZHAO. Clinical Effects on Sternoclavicular Joint Dislocation with Bridge-link Combined Fixation System[J]. Journal of Kunming Medical University, 2022, 43(6): 56-62. doi: 10.12259/j.issn.2095-610X.S20220625
Citation: Dingkai ZHOU, Chengyi ZI, Ziyang ZHAO, Xiaofei LI, Rui ZHANG, Yonggang YANG, Jingwu LIAO, Daohong ZHAO. Clinical Effects on Sternoclavicular Joint Dislocation with Bridge-link Combined Fixation System[J]. Journal of Kunming Medical University, 2022, 43(6): 56-62. doi: 10.12259/j.issn.2095-610X.S20220625

Clinical Effects on Sternoclavicular Joint Dislocation with Bridge-link Combined Fixation System

doi: 10.12259/j.issn.2095-610X.S20220625
  • Received Date: 2022-03-05
  • Publish Date: 2022-06-25
  •   Objective   To observe the clinical effect of Bridge-link Combined Fixation System (BCFS) in the treatment of Sternoclavicular dislocations (SCD) .   Methods   From October 2016 to September 2021, 29 patients with acute closed SCD were treated with BCFS, in which 27 cases were anterior dislocation, and 2 were posterior dislocation with no vascular and nerve injuries. All patients were treated with BCFS for open reduction and internal fixation. Rockwood score was used to evaluate the curative effects.   Results   The operation time was 39-62 min (mean, 41 min/per operation), intraoperative blood loss was 22-46 ml (mean, 29 ml/per operation). All patients were followed up for 6 to 36 months. The BCFS was removed in 6-18 months postoperation for all of cases, in which simple SCD were removed BCFS 6 months, and SCD combined with fractures removed 12-18 months postoperation. According to Rockwood score, 25 cases were shown to be excellent and 4 cases good, and there was no significant difference in Rockwood scores compared with the results of similar clinical studies (T-shaped locking plate for the treatment of SCD ) (P>0.05). All fractures healed without wound infection, internal fixation breakage and vascular, nerve, or pleural injuries and other complications.   Conclusion   BCFS is a good treatment option for SCD with short operation times and small damages, which can be used as one of the internal fixation methods for SCD .
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