Biomechanical Evaluation of Clavicle Fracture Plating Techniques: Does a Locking Plate Provide Improved Stability?

Celestre, Paul C.; Roberston, Claire; Mahar, Andrew; Oka, Richard; Meunier, Matthew J.; Schwartz, Alexandra

doi:10.1097/bot.0b013e31816c7bac

Cited by 122 publications

(129 citation statements)

References 28 publications

Supporting

Mentioning

109

Contrasting

Unclassified

Order By: Relevance

“…The radiological and clinical indications to perform osteosynthesis of mid-shaft clavicle fractures are still debated, and the suggested technique, choice of plate and position also vary in the literature [5,7,8,[10][11][12][13][14]. Despite the widespread use of locking plate osteosynthesis in clavicle fracture treatment, there is little clinical information about outcome and potential benefits of its use.…”

Section: Discussionmentioning

confidence: 99%

“…The locking plate theoretically offers increased stability of fixation, which again should allow for application of greater forces than conventional reconstruction or dynamic compression plates (DCP) plates. Biomechanical studies investigating the impact of torsional and bending load forces on both locking and DCP supports the concept that improved fixation is achieved when using a locking plate [7,8]. Clinical studies support advantages of locking plates over more conventional plate types [8][9][10].…”

Section: Introductionmentioning

confidence: 97%

“…Biomechanical studies investigating the impact of torsional and bending load forces on both locking and DCP supports the concept that improved fixation is achieved when using a locking plate [7,8]. Clinical studies support advantages of locking plates over more conventional plate types [8][9][10]. Despite the frequent use of locking plates, little is known about what rates of complications and reoperations to expect following the use of this technique in daily practice [6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Locking plate osteosynthesis of clavicle fractures: complication and reoperation rates in one hundred and five consecutive cases

Fridberg

Ban

Issa

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose Locking plate osteosynthesis has become the preferred method for operative treatment of clavicle fractures. The method offers stable fixation, and would theoretically be associated with a low rate of fracture-related complications and reoperations. However, this remains to be explored in a large cohort, and our purpose was to assess the overall rates of complications and reoperations following locking plate osteosynthesis of mid-shaft clavicle fractures. Methods We identified all locking plate osteosynthesis of midshaft clavicle fractures operated upon in our department from January 2008 to November 2010 (n=114). Nine patients did not attend the follow-up at our institution. The study group of 105 fractures (104 patients, 86 males) had a median age of 36 years (14-75 years). Follow-up ranged from 0.5 to 3.5 years. No patients were allowed to load the upper extremity for six weeks. By studying patient files and radiographic material, we assessed complications and reoperations. Results Overall, there were 31 cases (30 %) of plate removals for discomfort. There were five cases (5 %) of failure of osteosynthesis: two occurred early after approximately six weeks and three late after ten to 13 months postoperatively. Conclusion The overall rate of failure of osteosynthesis is low (5 %). The burden of plate removals in approximately one third of patients should be included in the preoperative information.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Locking plate osteosynthesis of clavicle fractures: complication and reoperation rates in one hundred and five consecutive cases

Fridberg

Ban

Issa

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Subsequently, no further failures have been observed and we have had very good clinical results [7]. Looking at previous biomechanical studies, the main focus was on the difference between locking versus non-locking plates and superior versus anterior-inferior plate position [8][9][10]. To our knowledge, only one study has been published comparing a precontoured plate with regular plates.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical comparison of the Locking Compression superior anterior clavicle plate with seven and ten hole reconstruction plates in midshaft clavicle fracture stabilisation

Eden

Hoelscher-Doht

Frey

et al. 2012

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose The purpose of this study was to characterise the biomechanical properties of the seven hole superior anterior clavicle LCP (locking compression plate) and to compare these with the properties of commonly applied implants used for the stabilisation of clavicular midshaft fractures such as the locking 7-and ten hole reconstruction plate. Methods Twenty-four synthetic clavicles were used. A transverse midshaft fracture was induced. The clavicles were fixed with angle stable clavicle LCPs, seven hole and ten hole reconstruction plates (n08 each). Twenty cycles of axial compression and torsion were performed for each sample, which was followed by 1,000 cycles of three point bending and ultimately bending to failure. Axial, torsional and cantilever bending stiffness were calculated from the data recorded. Results The clavicle LCP showed the highest overall stiffness compared to the seven and ten hole reconstruction plate. Significantly higher stiffness values were found for axial compression and external rotation. In the load-to-failure tests, the ten hole reconstruction plate especially showed early signs of plastic deformation, which might account for early plate insufficiency so frequently observed clinically. Conclusion The results indicate that the clavicle LCP, as compared to the reconstruction plates, leads to superior biomechanical stability in the treatment of midshaft clavicle fractures.

show abstract

“…Anatomic pre-contoured locking plates are widely used for the following advantages: strong fixation due to locking between the screw and plate as well as blood supply preservation due to minimal contact between the plate and cortical bone. [23][24][25][26] Minimally invasive percutaneous plate osteosynthesis technique along with application of a locking plate has been recently introduced, offering an ideal combination in terms of bone fixation and soft-tissue sparing since periosteal stripping can be minimized to promote rapid union. 6,27) In this study, fractures were treated with an anatomical plate or locking plate, and union was achieved in all cases.…”

Section: Discussionmentioning

confidence: 99%

Mini-open Treatment Using Plate of Clavicle Mid-shaft Fractures

Park

Kang

Kim³

et al. 2017

Clinics in Shoulder and Elbow

View full text Add to dashboard Cite

Background: Increased frequency of comminuted clavicle mid-shaft fractures and importance of functional satisfaction through early joint exercise has resulted in higher emphasis on surgical treatments. This study aimed to evaluate the clinical radiological results of treatment of clavicle mid-shaft fractures by open reduction and internal fixation using a plate with a small incision. Methods: The subjects of this study were 80 clavicle mid-shaft fracture cases treated with internal fixation using a plate from October 2010 to July 2014. Clavicle mid-shaft fractures were internally fixated using anatomical plates or locking compression plates. Achievement of bone union, union period, and clavicle length shortening were evaluated radiologically, and clinical assessment was done by using Constant and University of California at Los Angeles (UCLA) scores. Results: All 80 cases were confirmed to have achieved bone union through radiographs with an average union period of 10.9 weeks (range: 7-18 weeks). The average clavicle length of shortening in the affected side was 1.8 mm (range: 0-17 mm). The average UCLA score and Constant score were 33.6 (range: 25-35) and 92.5 (range: 65-100), respectively. Regarding complications, four cases reported skin irritation by metal plates, and one case reported a screw insertion site fracture due to minor trauma history. Conclusions: We were able to induce successful bone union and obtain clinically satisfactory results in displaced mid-shaft fractures of the clavicle without major complications such as nonunion through treatment of internal fixation using a plate.

show abstract

Biomechanical Evaluation of Clavicle Fracture Plating Techniques: Does a Locking Plate Provide Improved Stability?

Cited by 122 publications

References 28 publications

Locking plate osteosynthesis of clavicle fractures: complication and reoperation rates in one hundred and five consecutive cases

Locking plate osteosynthesis of clavicle fractures: complication and reoperation rates in one hundred and five consecutive cases

Biomechanical comparison of the Locking Compression superior anterior clavicle plate with seven and ten hole reconstruction plates in midshaft clavicle fracture stabilisation

Mini-open Treatment Using Plate of Clavicle Mid-shaft Fractures

Contact Info

Product

Resources

About