Retrospective study of superior anterior plate as a treatment for unstable (Neer type 2) distal clavicle fractures

Ibrahim, Syed; Meleppuram, Jimmy Joseph

doi:10.1016/j.rboe.2017.05.010

Cited by 9 publications

(11 citation statements)

References 21 publications

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“…But Kim et al 34 reported a case of pneumothorax after MIPO on a clavicle fracture. In the present study, no cases of nonunion were noted, and other authors 2 22 30 31 32 33 using the MIPO and ORIF techniques also reported no cases of non-union. By the third postoperative month, all patients presented full range of motion of the shoulder, and no numbness around the incision site was noted.…”

Section: Discussionsupporting

confidence: 62%

“…Other authors reported good union and DASH scores for the clavicle fractures treated with the ORIF technique. 2 30 Kundangar et al 32 conducted a comparison study between the ORIF and MIPO techniques, with better scores among the ORIF group, which was not statistically significant, and a lower incidence of numbness below scar among the MIPO group. Beirer et al 31 reported that MIPO significantly reduced numbness in the anterior chest wall and a lower level of postoperative pain in comparison to the ORIF, without statistical significance, however.…”

Section: Discussionmentioning

confidence: 99%

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Osteossíntese minimamente invasiva com placa para fraturas de clavícula

Devkota

Acharya

Pradhan

et al. 2021

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Analisar o resultado radiológico, clínico e funcional das fraturas da clavícula, tratadas pela técnica de osteossíntese com placa minimamente invasiva (MIPO). Métodos De junho de 2018 a julho de 2019, um total de 17 casos de fraturas claviculares foram tratadas com a técnica de osteossíntese com placa minimamente invasiva (MIPO), sob fluoroscopia com o braço em C. Os resultados funcionais foram avaliados por meio do escore de Constant-Murley e pelo escore de incapacidade do braço, ombro e mão (DASH). Foram analisados os resultados clínicos de consolidação, complicações, tempo cirúrgico, permanência hospitalar e infecção. Resultados O tempo médio de acompanhamento neste estudo foi de 10,41 ± 1,75 meses (variação, 8 a 14 meses). Havia 11 pacientes do sexo masculino e seis do feminino, com média de idade de 39,05 ± 10,76 anos (variação de 22 a 57 anos). Todas as fraturas se consolidaram no tempo médio de 15,35 ± 3,08 semanas (variação, 12 a 20 semanas). O tempo cirúrgico médio foi de 98,11 ± 13,83 minutos (variação, 70 a 130), sendo a permanência hospitalar média de 4,7 ± 1,12 dias (variação de 3 a 7). O escore de Constant-Murley médio foi de 74,82 ± 6,36 no 4° mês e 92,35 ± 5,48 no 8° mês do pós-operatório, o que foi estatisticamente significativo. O escore DASH médio foi de 9,94 ± 1,55 no 4° mês e 5,29 ± 1,85 na 8ª semana do pós-operatório, também sendo estatisticamente significativo. Um paciente apresentou infecção cutânea superficial no local da incisão. Conclusões A técnica MIPO é um método alternativo para a fixação de fraturas da clavícula, porém é tecnicamente mais desafiador, já que necessita de instalações cirúrgicas mais bem equipadas.

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Osteossíntese minimamente invasiva com placa para fraturas de clavícula

Devkota

Acharya

Pradhan

et al. 2021

Rev Bras Ortop (Sao Paulo)

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“…Plate fixation for distal clavicular fractures has been reported to achieve satisfactory bone union rates [8][9][10][11][12][13][14]; however, one of the important clinical problems is the rate of postoperative complications. While hook plates showed good outcomes for fractures with comminuted distal bone fragments, various complications, such as peri-implant fracture, dislocation, and limited range of motion were reported [6,10,15].…”

Section: Introductionmentioning

confidence: 99%

Treatment of distal clavicle fractures using a Scorpion plate and influence of timing on surgical outcomes: a retrospective cohort study of 105 cases

Furuhata

Takahashi

Hayashi

et al. 2020

BMC Musculoskelet Disord

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Background: Plate fixation is an established method for treating unstable distal clavicle fractures. However, the appropriate timing of surgery for acute distal clavicle fractures remains unclear. The present study aimed to evaluate the clinical outcomes of osteosynthesis using a Scorpion plate and to assess the influence of surgery timing on the surgical outcomes for acute unstable distal clavicle fractures. Methods: We retrospectively reviewed 105 patients who underwent fixation for acute unstable distal clavicle fractures (Neer type II and V) using the Scorpion plate between 2008 and 2018. Patients were divided into early (45 patients) and delayed (60 patients) treatment groups based on the timing of the surgical intervention (within or after 7 days). The outcomes were postoperative complications (nonunion, peri-implant fracture, plate loosening, plate-related pain, and stiffness). We evaluated the outcomes from X-ray radiographs and clinical notes. Results: Among the 105 patients, nonunion, plate loosening, plate-related pain, and stiffness were observed in six patients (5.7%), four patients (3.8%), seven patients (6.7%), and one patient (1.0%), respectively. The nonunion rate was significantly higher in the delayed treatment group than that in the early treatment group (P = 0.036). Although the difference was not significant, plate loosening and stiffness were only observed in the delayed treatment group. Conclusion: Our results demonstrated that osteosynthesis using Scorpion plates achieved satisfactory surgical outcomes for unstable distal clavicle fractures. In addition, this study suggested that performing surgery within 6 days after injury is recommended to reduce postoperative complications.

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Section: Introductionmentioning

confidence: 99%

Treatment of Distal Clavicle Fractures using a Scorpion Plate and Influence of Timing on Surgical Outcomes: A Retrospective Cohort Study of 105 Cases

Furuhata

Takahashi

Hayashi

et al. 2019

Preprint

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Background Plate fixation is the established method of treating unstable distal clavicle fractures. However, the appropriate timing of surgery for acute distal clavicle fractures remains unclear. The present study aimed to evaluate the clinical outcomes of osteosynthesis using a Scorpion plate and to assess the influence of surgery timing on the surgical outcomes for acute unstable distal clavicle fractures. Methods We retrospectively reviewed 105 patients who underwent fixation for acute unstable distal clavicle fractures (Neer type II and V) using the Scorpion plate between 2008 and 2018. Patients were divided into early (45 patients) and delayed (60 patients) treatment groups based on the timing of the surgical intervention (within or after seven days). The outcomes were postoperative complications (delayed union, peri-implant fracture, plate loosening, plate-related pain, and stiffness). We evaluated the outcomes from X-ray radiographs and clinical notes.Results Among the 105 patients, delayed union, plate loosening, plate-related pain, and stiffness were observed in six patients (5.7%), four patients (3.8%), seven patients (6.7%), and one (1.0%) patient, respectively. The delayed union rate was significantly higher in the delayed treatment group than that in the early treatment group (P=0.036). Although the difference was not significant, plate loosening and stiffness were only observed in the delayed treatment group. Conclusion Our results demonstrated that osteosynthesis using Scorpion plates achieved satisfactory surgical outcomes for unstable distal clavicle fractures . In addition, this study suggested that performing surgery within six days after injury is recommended to reduce postoperative complications .

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Retrospective study of superior anterior plate as a treatment for unstable (Neer type 2) distal clavicle fractures

Cited by 9 publications

References 21 publications

Osteossíntese minimamente invasiva com placa para fraturas de clavícula

Osteossíntese minimamente invasiva com placa para fraturas de clavícula

Treatment of distal clavicle fractures using a Scorpion plate and influence of timing on surgical outcomes: a retrospective cohort study of 105 cases

Treatment of Distal Clavicle Fractures using a Scorpion Plate and Influence of Timing on Surgical Outcomes: A Retrospective Cohort Study of 105 Cases

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