4 An Atlas of Anatomy and Treatment of Midclavicular Fractures

Rowe, Carter R.

doi:10.1097/00003086-196805000-00006

Cited by 556 publications

(412 citation statements)

References 0 publications

Supporting

Mentioning

374

Contrasting

Unclassified

Order By: Relevance

“…Beginning with classic papers by Neer [22] and Rowe [24], most authors recommended that ORIF of displaced midshaft clavicle fracture should be avoided because of the high rate of union with non-operative treatment, high rate of failure with operative treatment, and the potential risk of neurovascular complications due to the close proximity of vital structures including the underlying subclavian artery, vein, brachial plexus, and pleura.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clavicle Fracture Open Reduction Internal Fixation: Results of Modern Technique

Simonian¹

2017

MOJOR

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…This traditional treatment is not without complications, including shortening, nonunion, deformity and unsatisfactory patient outcomes [7][8][9][10][11][12][13][14]. More recently, modern operative treatment has demonstrated superior results [15][16][17][18][19][20][21][22][23][24][25][26].…”

Section: Introductionmentioning

confidence: 99%

Clavicle Fracture Open Reduction Internal Fixation: Results of Modern Technique

Simonian¹

2017

MOJOR

View full text Add to dashboard Cite

show abstract

“…About half of midshaft clavicle fractures are displaced [2,3] . Historically, the preffered method of treatment for most of midshaft clavicle fractures has been non-operative with figure of 8 bandage and sling [4,5] Initial reports of plate fixation shown that non-union rates were higher than those following conservative treatment. A systematic review of complications of plate fixation of clavicle by F.J.G Wijdicks et al noted that complications related to the implant requiring a second operation were frequent [1] .…”

Section: Introductionmentioning

confidence: 99%

Locking plate fixation of mid-shaft clavicle fractures: analysis of complications, reoperation rates and functional outcome

Sk¹,

Na²

2017

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Introduction: Clavicle fractures account for about 5-10% of all fractures and most of these fractures are located in the middle third of clavicle. Traditionally, these fractures have been treated by conservative methods. In recent years, surgical fixation of these fractures is becoming a prefered method of treatment and locking plate fixation is a commonly used mode of osteosynthesis. However, the functional results and complications of locking plate fixation documented in the literature are not clear and often conflicting. So the aim of this study is to analyse the results of locking plate osteosynthesis of mid-shaft clavicle fractures. Objective: To study complications, reoperation rates and functional outcome of clavicle fractures treated with locking plate osteosynthesis. Methods: Sixty Seven cases of mid-shaft clavicle fractures who underwent locking plate fixation in our orthopaedic department from January 2013 to December 2016 were identified. Those patients who attended regular follow-up and had recorded Constant-Murley Scores (CMS) were included. Seven patients who did not attend regular follow-up or had incomplete records were excluded from analysis. The study group comprising 60 patients were analysed for complications and functional outcome by studying patient records and x-rays. Results: There was one case of failure of fixation with non-union and 8 patients had their plate removed for discomfort. Overall, there were 92 % excellent to good, 5% fair and 3% poor results. There were no cases of infection. Conclusion: The locking plate osteosynthesis gives good to excellent functional outcome in most of the patients. It helps with early mobilisation and prevents shoulder stiffness. The overall rate of implant failure and non-union after plate fixation is low. The necessity of removal of implant in significant number of patients should be kept in mind.

show abstract

“…Midshaft fractures are the most common and account for 81% of these injuries with 48% being displaced [20]. Clavicle fractures are traditionally treated nonoperatively with immobilization in a sling or a figure-of-eight bandage [21]. This has been the standard of care as a result of the greater than 99% union rates reported in several influential studies with large numbers of patients [14,21].…”

Section: Introductionmentioning

confidence: 99%

“…Clavicle fractures are traditionally treated nonoperatively with immobilization in a sling or a figure-of-eight bandage [21]. This has been the standard of care as a result of the greater than 99% union rates reported in several influential studies with large numbers of patients [14,21]. However, the inclusion of pediatric fractures and lack of modern functional assessments in these studies may have resulted in unrealistically good results [20].…”

Section: Introductionmentioning

confidence: 99%

Function Plateaus by One Year in Patients With Surgically Treated Displaced Midshaft Clavicle Fractures

Schemitsch

Veillette

et al. 2011

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Based on short-term (1 year or less) followup, primary fixation of displaced midshaft clavicle fractures reportedly results in better function compared with that reported for nonoperative methods. Whether better function persists beyond 1 year is unclear. Questions/purposes For displaced midshaft clavicle fractures, do the better mean Disabilities of the Arm, Shoulder and Hand (DASH) and Constant-Murley Shoulder (CSS) scores for operative versus nonoperative treatment at 1 year change between 1-and 2-year followup? Patients and Methods We previously reported 132 patients in a randomized prospective trial at 1 year, and here we report a further followup of 95 of the 132 patients (72%) at 2 years after injury. We evaluated all patients with the DASH and CSS scores. Results The mean DASH and CSS scores were similar at 2 years compared with 1 year postinjury for both the nonoperated and operated patients. The mean scores for the operated patients remained higher than those in the nonoperative group (DASH operative 4

show abstract

4 An Atlas of Anatomy and Treatment of Midclavicular Fractures

Cited by 556 publications

References 0 publications

Clavicle Fracture Open Reduction Internal Fixation: Results of Modern Technique

Clavicle Fracture Open Reduction Internal Fixation: Results of Modern Technique

Locking plate fixation of mid-shaft clavicle fractures: analysis of complications, reoperation rates and functional outcome

Function Plateaus by One Year in Patients With Surgically Treated Displaced Midshaft Clavicle Fractures

Contact Info

Product

Resources

About