Plating of fresh clavicular fractures: results of 122 operations

Poigenfürst, J; Rappold, Georg; Fischer, W

doi:10.1016/s0020-1383(05)80006-3

Cited by 183 publications

(127 citation statements)

References 8 publications

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“…18 The complications related to plate fixation are infection, plate failure, hypertrophic or dysesthetic scars, implant loosening, non union, and rarely intraoperative vascular injury. 5,24,25 In our series we encountered one deep infection requiring early implant removal and one frozen shoulder which recovered well after MUA and extensive physiotherapy. No early complications occurred after implant removal.…”

Section: Original Articlementioning

confidence: 83%

“…8,18,19 The deforming force of sternocledomastoid is very strong and cannot be overcome by external supports provided by arm sling or figure of eight bandage. 20 Neer's nonunion rate of 1% is misleading as more recent studies show higher rates of nonunion in displaced midshaft clavicle fracture treated conservatively. 15 It was 4.5 to 9.5 % in Robinson's series, 15% in Hill's series, and 13% in White et al study, when such fractures were managed conservatively.…”

Section: Discussionmentioning

confidence: 99%

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Operative Fixation of Displaced Middle Third Clavicle (Edinburg Type 2) Fracture with Superior Reconstruction Plate Osteosynthesis

Dhoju¹,

Shrestha²,

Parajuli³

et al. 2012

Kathmandu Univ. Med. J.

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BackgroundConservative management of middle third clavicle fracture has been recently reported with suboptimal outcomes. Despite higher nonunion rates in initial open reduction and internal fixation, understanding the problem better and taking in accounts of previous shortcomings, such fractures can be optimally treated by open reduction and internal fixation with reconstruction plate. ObjectiveTo study the outcome of middle third clavicle fracture treated with superior reconstruction plating in terms of function using Constant shoulder score, union time and rate, complications and patient satisfaction. MethodsTwenty patients with displaced middle third clavicle fracture (Edinburg type 2) treated with open reduction and internal fixation with reconstruction plate implanted in superior surface were prospectively followed for at least one year after surgery. ResultsThere were 20 patients, 16 males and 4 females. The mean age of the patients was 31.5 years with SD 11.5 years (range 15-60 years) and 5 patients (25%) had associated injuries. All fractures united in 16 weeks or less in near anatomic position with complication in 2 (5%) patients, one deep infection and one frozen shoulder which on subsequent management recovered well. There was no nonunion or implant failure. The average Constant score was 97.45 in one year follow up and the patients were relatively satisfied with the treatment.The most common indication (25%) for hardware removal was young age of the patient, hardware prominence and occasional discomfort ConclusionThis small series shows that displaced midshaft clavicle fracture can be optimally treated with operative fixation implanting the reonstruction plate in superior surface with six cortical purchases on either side and supervised physiotherapy, although subsequent surgery for implant removal might be necessary. KEY WORDSmiddle third clavicle fracture, reconstruction plate.

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Section: Original Articlementioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Operative Fixation of Displaced Middle Third Clavicle (Edinburg Type 2) Fracture with Superior Reconstruction Plate Osteosynthesis

Dhoju¹,

Shrestha²,

Parajuli³

et al. 2012

Kathmandu Univ. Med. J.

View full text Add to dashboard Cite

show abstract

“…Studies from North America and Europe, show that plate fixation is an extremely effective technique for treatment of clavicular shaft fractures with a low complication and nonunion rate [17,18]. They quoted a nonunion rate of 2.2% in operative management of these fractures as compared to more than 15% rate in those managed with conservative methods.…”

Section: Discussionmentioning

confidence: 99%

Primary Plating of Displaced Mid-shaft Clavicular Fractures

Kulshrestha¹

2008

Medical Journal Armed Forces India

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“…[8][9][10][11][12][13][14] However, with the development of plates such as low-profile LCP, more stable fixation is possible and good results have been reported after surgical treatment in clavicle midshaft fracture. 4,5) 15) suggested leaving a plate in place for 12 to 18 months and placement of restrictions against contact sports for 2 to 3 months after plate removal. Although the cause of the refracture is beyond this study, this finding suggests that if removal of the plate is planned, especially in Robinson 2B2 fractures, radiographs and even computed tomography images should be thoroughly evaluated for union progression and removal can be delayed until radiological evidence of definite bony union appears.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Radiological Outcome after Surgical Treatment in Displaced Clavicular Midshaft Fracture

Gwak¹,

Kim²

2016

Clinics in Shoulder and Elbow

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Background: The first purpose of this study is to compare the clinical and radiological outcomes of surgical treatment for displaced midshaft clavicle fracture (Robinson type 2B1 vs. 2B2) with 3.5-mm low profile clavicular locking compression plate. The second purpose is to evaluate the difference of the results depending on the presence of accompanying injuries. Methods: Forty-nine patients who underwent an operation for the fractures were reviewed retrospectively. Fracture patterns were classified according to group 2B1 and 2B2 using Robinson's classification. For radiological outcome, time to union after operation was evaluated and for clinical outcome, American Shoulder and Elbow Society (ASES) score, University of California in Los Angeles (UCLA) score, visual analogue scale (VAS), and range of motion (ROM) were evaluated from preoperative period to last follow-up period. Results: The mean time for union was not significantly different in the 2B1 group and 2B2 group (p=0.062). No statistically significant difference in ASES score, UCLA score, and VAS was observed between 2B1 and 2B2 (p=0.619, p=0.896, p=0.856, respectively). In ROM, significant higher mean forward flexion and abduction was observed in 2B2 (p=0.025, p=0.017, respectively) and there was no difference in external rotation and external rotation at shoulder

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Plating of fresh clavicular fractures: results of 122 operations

Cited by 183 publications

References 8 publications

Operative Fixation of Displaced Middle Third Clavicle (Edinburg Type 2) Fracture with Superior Reconstruction Plate Osteosynthesis

Operative Fixation of Displaced Middle Third Clavicle (Edinburg Type 2) Fracture with Superior Reconstruction Plate Osteosynthesis

Primary Plating of Displaced Mid-shaft Clavicular Fractures

Clinical and Radiological Outcome after Surgical Treatment in Displaced Clavicular Midshaft Fracture

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