Winkelstabile, mehrdimensionale Plattenosteosynthese der Klavikulaschaftfraktur

Dežulović, Mirna Šubat; Stangl, R.; Muenzberg, Matthias

doi:10.1007/s00113-011-2077-8

Cited by 3 publications

(1 citation statement)

References 35 publications

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“…They concluded that TEN is an equally effective alternate to plate fixation. Also, Dezulovic M et al 13 evaluated 35 patients treated with multidimensional, anatomical locking plate osteosynthesis for comminuted clavicle shaft fracture. They had a mean DASH score of 1.25 and a mean Constant Murley score of 98.…”

Section: Discussionmentioning

confidence: 99%

A study on the outcome of displaced midshaft non-comminuted clavicle fractures treated with anatomical locking plate versus titanium elastic nail

Abraham

Marimuthu

2020

Journal of Orthopaedics, Trauma and Rehabilitation

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Purpose: Fixation of displaced midshaft clavicle is well known to decrease nonunion, malunion and shoulder disability as compared to nonoperative treatment. This study was done to compare the clinical and functional outcome of group 1 clavicle fractures treated with anatomic locking plates (ALP) versus Titanium elastic nail (TEN). Methods: We studied patients presenting with displaced midshaft clavicle fractures treated with ALP or TEN. The study period was from Jan 2013 to Dec 2016. Patients were reviewed and at each visit clinical and radiological progress of union was noted, complications if any were noted, functional assessment was done using the quick Dash score and Constant Murley score. Results: A total of 116 patients met our inclusion criteria. 62 patients were treated with TEN and 54 with ALP. Bony union was achieved at an average of 11.8 weeks in the TENS group and 12.8 weeks in the ALP group post operatively and this was found to be significant. The mean postoperative Constant Murley score in the ALP and the TEN groups were 92.8 (range 80–97), and 93.7 (82–97) respectively. The mean postoperative quick dash score in the ALP and TEN groups were 2.48(range from 0 to 6.8) and 2.1 (range 0–9.1) respectively. Conclusion: Both Anatomical locking plate and TEN are good options for the treatment of non-comminuted mid clavicular fractures as they have a similar functional outcome. TEN nail insertion has the advantage of being minimally invasive, having a faster union time and may be recommended in midshaft clavicle fractures without comminution.

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Section: Discussionmentioning

confidence: 99%

A study on the outcome of displaced midshaft non-comminuted clavicle fractures treated with anatomical locking plate versus titanium elastic nail

Abraham

Marimuthu

2020

Journal of Orthopaedics, Trauma and Rehabilitation

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Hämatogene Osteomyelitis bei Klavikulafraktur

Dežulović¹,

Hönck²,

Palle³

et al. 2022

Unfallchirurgie

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Does candidate for plate fixation selection improve the functional outcome after midshaft clavicle fracture? A systematic review of 1348 patients

et al. 2018

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Introduction: The hypothesis of this study was that patient selection for midshaft clavicle fracture (open reduction internal fixation with plate versus conservative) would give better functional outcome than random treatment allocation. Methods: We performed a systematic literature search for primary studies providing functional score and non-union rate after conservative or surgical management of midshaft clavicle fractures. Six randomized controlled trial and 19 nonrandomized controlled trial studies encompassing a total of 1348 patients were included. Results: Patients treated with surgical management were found to have statistically superior Constant scores in nonrandomized controlled trials than in randomized controlled trials (94.76 AE 6.4 versus 92.49 AE 6.2; p < 0.0001). For conservative treatment, randomized controlled trials were found to have significantly better functional outcome. The prevalence of non-union (6.1%) did not show significant statistical difference between non-randomized controlled trial and randomized controlled trial studies. The functional outcome after surgical management was significantly higher than after conservative management in both randomized controlled trial and non-randomized controlled trial groups. The non-union rate after surgery (1.1% for both non-randomized controlled trial and randomized controlled trial) was significantly lower than following conservative treatment (9.9% non-randomized controlled trial versus 15.1% randomized controlled trial). Discussion: This review shows that patient selection for surgery may influence functional outcome after midshaft clavicle fracture. Our results also confirm that plate fixation provides better functional outcome and lower non-union rate.

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Winkelstabile, mehrdimensionale Plattenosteosynthese der Klavikulaschaftfraktur

Abstract: The treatment of comminuted shaft fractures of the clavicle by means of a multidimensional locking plate is a safe treatment option that includes early functional postoperative care with free range of motion.

Cited by 3 publications

References 35 publications

A study on the outcome of displaced midshaft non-comminuted clavicle fractures treated with anatomical locking plate versus titanium elastic nail

A study on the outcome of displaced midshaft non-comminuted clavicle fractures treated with anatomical locking plate versus titanium elastic nail

Hämatogene Osteomyelitis bei Klavikulafraktur

Does candidate for plate fixation selection improve the functional outcome after midshaft clavicle fracture? A systematic review of 1348 patients

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