Precontoured plate fixation with interfragmentary lag screw use in a middle third clavicle fracture fixation

Naderipour, Alireza; McKee, Michael D.

doi:10.1097/bot.0000000000000402

Cited by 1 publication

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…9 11 12 13) Plate fixation is biomechanically superior to intramedullary fixation, and it can allow full range of motion by providing rigid fixation, which is favorable for early rehabilitation protocol, 14) but they require longer incisions and more extensive soft tissue stripping. 15) Also, implant failures, including plate bending, plate breakage, or screw pullout, may occur in 14% of patients. 16) …”

Section: Discussionmentioning

confidence: 99%

“…These undesirable consequences, such as nonunion and infection, were due to operation-specific complications (i.e., implant-related and operative techniques), which could not occur in the non-operative treatment group. 15) …”

Section: Discussionmentioning

confidence: 99%

“…Some surgeons recommend using interfragmentary lag screws to fix comminuted fragments and simplify complex fractures. 15) However, we did not use this technique because using lag screws may cause iatrogenic soft tissue damage, such as periosteal stripping. We only stripped the superior surface of the clavicle to protect the soft tissue attachment and blood supply, and we bound the comminuted fragments and surrounding soft tissue together with cerclage wire.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Supplementary Technique for Unstable Clavicle Shaft Fractures: Interfragmentary Wiring and Temporary Axial K-Wire Pinning

et al. 2018

View full text Add to dashboard Cite

BackgroundTreatment of unstable clavicle fractures remains a challenge for orthopedic surgeons, but the evolution of treatment strategies has allowed for reliable results with minimal complications. Although several surgical options exist, open reduction with plating remains the treatment of choice for clavicle fractures. The purpose of this study is to determine an easy way to achieve successful preplating reduction while minimizing surrounding soft tissue damage during treatment of midshaft fractures of the clavicle.MethodsA retrospective study included all consecutive adult patients operated on by a single surgeon for acute displaced clavicular midshaft fracture between January 2010 and October 2014. Hybrid technique with interfragmentary cerclage wiring, temporary axial K-wire pinning, or their combination was used in all patients. The demographic data and clinical outcomes, including operation time, union time, restoration of anatomy, shoulder functional score, and complications were evaluated.ResultsThere were 54 male and 19 female patients, with an average age of 39.3 years (range, 18 to 77 years) for males and 58.3 years (range, 39 to 77 years) for females. They were followed up for 24 months (range, 12 to 44 months). All patients had reliable bone union after surgery using interfragmentary cerclage wiring and temporary axial K-wire fixation; fracture union was obtained at an average of 11.7 weeks (range, 8 to 21 weeks) postoperatively. Additionally, there was no postoperative loss of fracture reduction or plate loosening. At the final follow-up, all patients had regained excellent functional outcomes.ConclusionsThe cognizant effort to achieve anatomic reduction without surrounding soft tissue insult before definitive plating allows excellent radiologic and functional outcomes. Interfragmentary cerclage wiring and temporary axial K-wire pinning can overcome difficulties associated with unstable clavicle fractures to allow proper fracture reduction. In this article, we introduce a concise technique for achieving the desired outcomes reliably and efficiently when treating unstable clavicle midshaft fractures.

show abstract