Anterior-inferior Plate Fixation of Middle-third Fractures and Nonunions of the Clavicle

Collinge, Cory; Devinney, Scott; Herscovici, Dolfi; DiPasquale, Thomas; Sanders, Roy

doi:10.1097/01.bot.0000249434.57571.29

Cited by 159 publications

(95 citation statements)

References 26 publications

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“…Surgically related complications, such as delayed wound healing and superficial infection, were rarely encountered. Our findings compare favourably to that reported in previous studies on plate fixation of midshaft clavicle fractures [4,6,13,17,18].…”

Section: Discussionsupporting

confidence: 67%

“…The radiological and clinical indications to perform osteosynthesis of mid-shaft clavicle fractures are still debated, and the suggested technique, choice of plate and position also vary in the literature [5,7,8,[10][11][12][13][14]. Despite the widespread use of locking plate osteosynthesis in clavicle fracture treatment, there is little clinical information about outcome and potential benefits of its use.…”

Section: Discussionmentioning

confidence: 99%

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Locking plate osteosynthesis of clavicle fractures: complication and reoperation rates in one hundred and five consecutive cases

Fridberg

Ban

Issa

et al. 2013

International Orthopaedics (SICOT)

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Purpose Locking plate osteosynthesis has become the preferred method for operative treatment of clavicle fractures. The method offers stable fixation, and would theoretically be associated with a low rate of fracture-related complications and reoperations. However, this remains to be explored in a large cohort, and our purpose was to assess the overall rates of complications and reoperations following locking plate osteosynthesis of mid-shaft clavicle fractures. Methods We identified all locking plate osteosynthesis of midshaft clavicle fractures operated upon in our department from January 2008 to November 2010 (n=114). Nine patients did not attend the follow-up at our institution. The study group of 105 fractures (104 patients, 86 males) had a median age of 36 years (14-75 years). Follow-up ranged from 0.5 to 3.5 years. No patients were allowed to load the upper extremity for six weeks. By studying patient files and radiographic material, we assessed complications and reoperations. Results Overall, there were 31 cases (30 %) of plate removals for discomfort. There were five cases (5 %) of failure of osteosynthesis: two occurred early after approximately six weeks and three late after ten to 13 months postoperatively. Conclusion The overall rate of failure of osteosynthesis is low (5 %). The burden of plate removals in approximately one third of patients should be included in the preoperative information.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Locking plate osteosynthesis of clavicle fractures: complication and reoperation rates in one hundred and five consecutive cases

Fridberg

Ban

Issa

et al. 2013

International Orthopaedics (SICOT)

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“…In 1 patient (2.5%) plate loosening occurred which went for malunion and in 1 patient (2.5%) plate breakage occurred ( Table-10). Findings are comparable to a study conducted by Collinge et al [11] As per lateral 1/3 rd fracture surgeries are concerned1 patient (2.5%) superficial infection occurred which was treated with oral antibiotics for 5 days and in another 2 patients (5%) restriction of shoulder movements occurred due to associated glenoid fossa fracture. The patient was not able to follow the shoulder exercises because of pain.In 1 patient (2.5%) delayed union occurred (Table-11).…”

Section: Asian Pacific Journal Of Health Sciences 2017; 4(1):240-246supporting

confidence: 77%

A clinical study on role of surgical management of clavicle fractures in adults

T¹,

R²

2017

APJHS

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Clavicle, the horizontal bone of the body fractures is seen commonly in Road traffic accidents, fall from heights and also in simple falls. The clavicle fractures account for about 5-10% of all fractures. Traditionally it is believed that conservative management is best instead of surgery for clavicle bone. Internal fixation for middle third fractures of clavicle with interlocking will not be ideal choice as the implant cannot be precontoured. Fixation with plates would be a better choice for the said situation. Similarly, fixation of lateral third fractures is also better option suggested by many authorities. To analyze methods of surgical management for the fractures of middle and lateral third parts the current study was carried out at Department of Orthopedics, Government Medical College and Hospital, Anantapuramu. An attempt is also made to study the epidemiological factors associated with fracture of the clavicle. At the end of the study it can be concluded that the middle and lateral third fractures of clavicle are common in younger age group males who met with road traffic accidents. As for as surgical management is concerned, internal fixation with plates and screws for middle third fractures and tension band wiring for lateral third fractures of Clavicle would be ideal choice as they allow for early rehabilitation, less chances for infection and pose least number of complications.

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“…Nonunions of the midshaft clavicle cause disabling discomfort and deformity [2,4,5,8]. Patients complain of pain, decreased shoulder motion and brachialgia which comes as a complex of neurovascular symptoms by compression of the brachial plexus and/or subclavian vessels, most often involving the medial aspect of the arm.…”

Section: Introductory Remarksmentioning

confidence: 99%

Anteroinferior Plating of Midshaft Clavicle Nonunions and Fractures

et al. 2009

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From December 1993 to February 2007, 52 patients (53 clavicles) were treated with anteroinferior plating of clavicle. There were 38 atrophic nonunions or delayed unions, three hypertrophic nonunions, three infected nonunions, six acute fractures, and one malunion. For two patients initial radiographs could not be located. Average age was 45 years. One patient was lost to follow-up prior to healing. The others were followed up after an average of 35 months. All had consolidation at an average of 3 months (range 2-7 months). Two patients underwent removal of a lag screw that was placed from superior to inferior, whereas three patients underwent plate removal.

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Anterior-inferior Plate Fixation of Middle-third Fractures and Nonunions of the Clavicle

Cited by 159 publications

References 26 publications

Locking plate osteosynthesis of clavicle fractures: complication and reoperation rates in one hundred and five consecutive cases

Locking plate osteosynthesis of clavicle fractures: complication and reoperation rates in one hundred and five consecutive cases

A clinical study on role of surgical management of clavicle fractures in adults

Anteroinferior Plating of Midshaft Clavicle Nonunions and Fractures

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