Operative Treatment of Adolescent Clavicle Fractures With an Intramedullary Clavicle Pin

Frye, Benjamin M.; Rye, Sheila; McDonough, Edward B; Bal, George K.

doi:10.1097/bpo.0b013e31825611da

Cited by 32 publications

(43 citation statements)

References 20 publications

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“…Previous studies reported the early complications such as nail breakage, bending and threatened skin perforation in the ESIN group [12,22,25]. However, these early complications were not significant in our study, possibly because of routine immobilization in an arm sling for first 1 to 2 weeks and good patient compliance.…”

Section: Vas = Visual Analogue Scalecontrasting

confidence: 70%

“…Traditionally, operative treatment has been achieved by plate and screws [7,10,11]. Recently, intramedullary fixation is gaining increased interest in the literature [12,13]. To the author's knowledge, there is no head-to-head comparison between the elastic stable intramedullary nail (ESIN) and the plate fixation for displaced midshaft clavicle fractures in adolescents.…”

Section: Introductionmentioning

confidence: 99%

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Optimal operative choice for displaced midshaft clavicle fractures in adolescents: a comparative study of intramedullary flexible nails and plating

Rai²,

et al. 2020

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Background: Traditionally, operative treatment for displaced midshaft clavicle fractures in adolescents has been achieved by a plate and screws. However, a minimally invasive trend in most of the surgeries has led the pediatric orthopedic surgeons to use elastic stable intramedullary nail (ESIN) for displaced midshaft clavicle fractures. This study aims to compare the clinical outcomes of adolescent patients who were surgically treated with the (ESIN) and plate for displaced midshaft clavicle fractures.Methods: A total of 73 patients, aged between 10 years and 14 years, with displaced midshaft clavicle fractures were treated surgically from January 2014 to January 2018. Patients were categorized into two groups, ESIN (n = 45; male 27, female 18) and plate (n = 28; male17, female 11) according to surgical technique. The preoperative data, including baseline information of the patients, radiographic parameters, and types of surgical procedure, were collected from the hospital database. The postoperative data, including clinical outcome and complications, were collected during the follow-up visit. Clinical outcome was evaluated using the American Shoulder and Elbow Surgeons (ASES).Results: The average age of the patients in the ESIN group was 12.2±1.5 years, and that in the Plate group was 12.2±1.4 years. There was a significantly less operative time, reduced estimated blood loss (EBL), shortened hospital stay and smaller incision for ESIN group as compared to the Plate group (P<0.01). The rate of scar concern was much higher in plate (14/28, 50%) than ESIN (2/45, 4.4%) , (P <0.01). There was no statistically significant difference in shoulder function between the ESIN group (94.5±2.8) and the Plate group (95.1±2.7), P = 0.36. In all the cases, implant removal was performed between 4 and 12 months postoperatively, and the ESIN group had significantly less operative time, EBL and shortened hospital stay as compared to the plate for implant removal (P<0.01).Conclusion: Both the ESIN and Plate are safe and effective treatment methods for displaced midshaft clavicle fractures in adolescents. The ESIN is superior to plate in terms of shorter operative time, less intraoperative radiation exposure, shorter hospital stay, less scar concern and easier implant removals. However, ESIN for heavier kids remain cautious.

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Section: Vas = Visual Analogue Scalecontrasting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Optimal operative choice for displaced midshaft clavicle fractures in adolescents: a comparative study of intramedullary flexible nails and plating

Rai²,

et al. 2020

Preprint

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“…It seems that the Robinson classification, which was developed for adult fractures, is less suitable for childhood fractures. Recently, Frye et al 15 reported the results of 17 patients treated operatively with an intramedullary pin. The arbeitsgemeinschaft fu¨r osteosynthesefragen pediatric comprehensive classification of long bone fractures does not include the clavicle.…”

Section: Discussionmentioning

confidence: 99%

Long-term Patient-reported Outcome After Fractures of the Clavicle in Patients Aged 10 to 18 Years

Randsborg

Fuglesang²,

Røtterud³

et al. 2014

Journal of Pediatric Orthopaedics

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“…[3][4][5][6][7][8] Although highquality clinical studies have been completed in the adult population, there is limited data regarding the results of nonoperatively managed clavicle fractures in adolescents, for whom clavicle fractures account for approximately 15% of all fractures. 3,4,[9][10][11][12][13][14][15] Owing to the excellent healing potential in children, even significantly displaced adolescent clavicle fractures have traditionally been treated nonoperatively (Fig. 1).…”

mentioning

confidence: 99%

Is There a Deficit After Nonoperative Versus Operative Treatment of Shortened Midshaft Clavicular Fractures in Adolescents?

Parry

Straaten

Luo

et al. 2017

Journal of Pediatric Orthopaedics

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Operative Treatment of Adolescent Clavicle Fractures With an Intramedullary Clavicle Pin

Abstract: Therapeutic level IV.

Cited by 32 publications

References 20 publications

Optimal operative choice for displaced midshaft clavicle fractures in adolescents: a comparative study of intramedullary flexible nails and plating

Optimal operative choice for displaced midshaft clavicle fractures in adolescents: a comparative study of intramedullary flexible nails and plating

Long-term Patient-reported Outcome After Fractures of the Clavicle in Patients Aged 10 to 18 Years

Is There a Deficit After Nonoperative Versus Operative Treatment of Shortened Midshaft Clavicular Fractures in Adolescents?

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