Surgical management of uncomplicated midshaft clavicle fractures: a comparison between titanium elastic nails and small reconstruction plates

Tarng, Yih-Wen; Yang, Shan-Wei; Fang, Yen-Po; Hsu, Chien-Jen

doi:10.1016/j.jse.2011.08.065

Cited by 38 publications

(39 citation statements)

References 20 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The median operation duration was about 32 min [28]. We conclude that the rate of closed reduction and the time of the operation are independent of the fracture type and the performer's proficiency, which is consistent with our observations.…”

Section: Discussionsupporting

confidence: 90%

Minimally invasive fixation of midclavicular fractures with threaded elastic intramedullary nails

Wang

Xiong

et al. 2015

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 90%

Minimally invasive fixation of midclavicular fractures with threaded elastic intramedullary nails

Wang

Xiong

et al. 2015

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

show abstract

“…However, placing lag screws almost always needed additional periosteal stripping to show enough space to perform. And most of the delayed union or nonunion come from unlimited stripping of periosteum and destroying of blood supply during operation [27,28,29]. Second, although compression of two fragments can be ensured by a lag screw, it is almost impossible for all multi-fragments to contact tightly.…”

Section: Discussionmentioning

confidence: 99%

The comparison of Nice knots and traditional methods as an auxiliary reduction-fixation technique in pre-contoured locking plate fixation for comminuted Robinson type 2B clavicle fracture: a retrospective study

Hong

Wang

Guo

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Open reduction and pre-contoured locking plate fixation is a popular treatment option for displaced midshaft clavicle fracture. Lag screw and cerclage are two main intraoperative techniques to reduce and fix fragments. However, both lag screw and metallic cerclage have disadvantages. The doubled-suture Nice knot has been reported in many areas of orthopedic surgery for its effectiveness. This study aims to compare the outcomes of comminuted mid-shaft clavicle fractures reduced by Nice knots versus traditional techniques (lag screw or/and metallic cerclage) when bridged with pre-contoured locking plates.Methods: We retrospectively reviewed 101 patients (65 females and 36 males) diagnosed with midshaft clavicle fractures with at least one wedge fragment reduced by either Nice knots or traditional methods and bridged with pre-contoured locking plates between December 2016 and April 2019. Operation time, functional outcomes, pain, patient satisfaction, fracture healing and complications were assessed at a follow-up of 12 to 40 months.Results: The mean age of all the patients was 50.8 years. There were 52 and 49 patients in Nice knot group and traditional group respectively, and no differences between two groups was found in general patient characteristics, fracture type, follow up and injury-to-surgery duration. The Nice knot group had significant less operation time (p < 0.01) than the traditional group (mean and standard deviation [SD], 78.6±19.0 compared with 94.4±29.9 minutes, respectively). For healing time, functional score, pain, satisfaction and complications, there was no significant differences between groups, despite the Nice knot group had slightly better results.Conclusions: Both Nice knots and traditional methods treated for comminuted Robinson type 2B clavicle fractures were effective and safe. And the Nice knots seemed to be superior with significant less operation time.

show abstract

“…There is still controversy among many surgeons regarding treatment of middle third clavicle fracture whether to operate or to treat conservatively in an adult patient. [9][10][11][12][13] In our study we have analyzed the outcomes of the operative management using plate and screw technique to fix mid-shaft clavicle fractures compared to conservative treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Relative indications include comminuted fracture, severely displaced fracture, irreducible fracture, tenting of skin by displaced fracture fragments, open fractures, floating shoulder, shortening more than 15-20 mm, cosmetic reason and selected fracture non-union who have shoulder girdle dysfunction and are symptomatic. [9][10][11][12][13] MATERIALS AND METHODS: In our study 33 patients of clavicular fractures were treated conservatively and surgically according to fracture pattern and patient demands between June 2011 and June 2013 with 1 year of follow-up. Adult patients above 18 years who had middle third clavicle fracture were included for this study after taking written consent from them.…”

Section: Introductionmentioning

confidence: 99%

Functional Outcome in Midshaftclavicle Fracture Plating: Our Experience

Mukherjee¹,

Parikh²,

Akka³

et al. 2014

jemds

View full text Add to dashboard Cite

Fracture of the clavicle constitute approximately up to 44% of injuries to the shoulder girdle most of which (upto 80%) occur in the middle one-third of clavicle shaft. Poor outcomes associated with mal-union and non-union (15%) following middle third clavicle fracture has been observed after conservative treatment of severely displaced fractures. In past few years, many have suggested operative treatment as an alternative to conservative treatment. AIM: To analyze the outcomes of the operative management using plate to fix mid-shaft fractures compared to conservative treatment. MATERIALS AND METHODS: 33 patients of clavicular fractures were treated conservatively (n=17) and surgically (n=16) according to fracture pattern and patient demands between June 2011 to June 2013 with 1 year of follow-up. Fractures were classified according to Robinson's classification and Constant and Murley shoulder score was used to access functional outcome. All patients were followed up weekly for 4 weeks then at 8 wks, 12 wks, 6 months and 1 year. Local examination, shoulder movements were assessed and check x-rays were done at each visit. RESULT: Our study showed statistically significantly better union time in operative group (~7.8 weeks) compared to conservative group (~9.4 weeks). Malunion was seen in 11 (64.7%) of conserved patients with 1 (5.8%) going into non-union. 81.5% patients in operative group (13 out of 16) had good to excellent functional outcome compared to 58.8% in conservative group (10 out of 17). 4 (23.5%) had poor outcome in conservative group compared to only 1 (6.25%) in operative group. CONCLUSION: Our study concludes that operative treatment i.e. Open reduction and internal fixation with plating gives better functional outcome in both short and long term period compared to conservative treatment and the same should be preferred especially for type B variety fracture. Complications seen following surgery were infection (1 patient-6.25%), implant failure (1 patient-6.25%) and implant prominence (11 out of 16 patients-68.7%). However none of the patients agreed for implant removal in view of implant prominence for cosmetic reason at 1 year follow-up.

show abstract

Surgical management of uncomplicated midshaft clavicle fractures: a comparison between titanium elastic nails and small reconstruction plates

Cited by 38 publications

References 20 publications

Minimally invasive fixation of midclavicular fractures with threaded elastic intramedullary nails

Minimally invasive fixation of midclavicular fractures with threaded elastic intramedullary nails

The comparison of Nice knots and traditional methods as an auxiliary reduction-fixation technique in pre-contoured locking plate fixation for comminuted Robinson type 2B clavicle fracture: a retrospective study

Functional Outcome in Midshaftclavicle Fracture Plating: Our Experience

Contact Info

Product

Resources

About