Intramedulläre Stabilisation von dislozierten Klavikulaschaftfrakturen – Hat die Frakturform (einfach vs. komplex) Einfluss auf das anatomische und funktionelle Ergebnis?

Langenhan, Ronny; Reimers, Nils; Probst, Axel

doi:10.1055/s-0034-1383206

Cited by 5 publications

(1 citation statement)

References 19 publications

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“…The disadvantages of the TEN are hardware migration, secondary shortening, telescoping and the need for routine removal. 9 , 13 , 15 , 16 , 67 , 69 , 70 Most of these complications are attributed to the fact that the TEN aligns but does not fix itself in the fracture elements. The re-intervention ratio related to implant failures is reported to be in the range of 0% to 36%.…”

Section: Intramedullary Fixationmentioning

confidence: 99%

Midshaft clavicle fractures

2018

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Clavicle fractures are common fractures and the optimal treatment strategy remains debatable. The present paper reviews the available literature and current concepts in the management of displaced and/or shortened midshaft clavicle fractures.Operative treatment leads to improved short-term functional outcomes, increased patient satisfaction, an earlier return to sports and lower rates of non-union compared with conservative treatment. In terms of cost-effectiveness, operative treatment also seems to be advantageous.However, operative treatment is associated with an increased risk of complications and re-operations, while long-term shoulder functional outcomes are similar.The optimal treatment strategy should be one tailor-made to the patient and his/her specific needs and expectations by utilizing a shared decision-making model.Cite this article: EFORT Open Rev 2018;3:374-380. DOI: 10.1302/2058-5241.3.170033

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