Comparison between open plating versus minimally invasive plate osteosynthesis for acute displaced clavicular shaft fractures

Sohn, Hong Gyoo; Kim, Won-Ju; Shon, Min Soo

doi:10.1016/j.injury.2015.05.038

Cited by 43 publications

(39 citation statements)

References 21 publications

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“…However, due to a clinically relevant non-union rate and limited functional results following the conservative management of these lesions, there has been a trend towards surgical fixation of mid-shaft fractures of the clavicle [2,3]. While open reduction and plate fixation allows optimal anatomic reposition and stable fixation [4], a relevant risk of postoperative complications, including wound-healing problems, implant malposition and failure has been described [5]. Elastic intramedullary nailing (ESIN) has been proposed as an alternative minimal-invasive method for the operative treatment of mid-shaft fractures of the clavicle [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Surgical complications following ESIN for clavicular mid-shaft fractures do not limit functional or patient-perceived outcome

Lechler

Sturm

Boese³

et al. 2016

Injury

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Section: Introductionmentioning

confidence: 99%

Surgical complications following ESIN for clavicular mid-shaft fractures do not limit functional or patient-perceived outcome

Lechler

Sturm

Boese³

et al. 2016

Injury

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“…Moreover reoperation in our study was 0%, total, complication was only 4% and non-consolidation was similar to other series. 14,15 Very less percentage of considerable pain and dissatisfaction was reported as assessed by VAS at one year follow up from injury. With 14% pain and 0% dissatisfaction results indicated no signs of non-union and post operation conditions.…”

Section: Discussionmentioning

confidence: 99%

Treatment of clavicle fracture using wise lock clavicle hook plate and wise lock superior anterior clavicle plate

Thakur¹,

Sharma

Kumar³

et al. 2019

Int J Res Orthop

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INTRODUCTIONClavicle fractures are common in adult population, due to thin structure and super facial location of the bone. With less protection from muscle or fat, 69-82% of midshaft clavicle fractures occurs due to the slightly curved nature of the middle third and lack of articular support through muscles and tendons. 1 While the medial-end clavicle fractures are rare and make up only 2%-10% of all clavicle fractures, this type of fracture is usually caused by direct, high-energy trauma such as bike crash and also secondary to a fall, aggression or firearm wound. 2,3 Based on the anatomy, clavicle fracture are classified in to three parts (a) clavicle, proximal (medial) end segment (b) clavicle, diaphyseal segment and (c) clavicle, distal (lateral) end segment. 4The location of the fracture, along with degree of displacement and association of surrounding structures, is important to consider for treatment. There are two primary categories for treatment of clavicle fracturesoperative and non-operative. Non-operative, or conservative treatment involves immobilization using a sling or brace, whereas operative management can ABSTRACT Background: Clavicle fracture is common in adults associated with high non-union rate and post-operative complications. The aim of this prospective study was to reduce the postoperative complications in clavicle fracture (Type 15-A2 and 15-B1) by using wise lock plates (manufactured by Auxein Medical Private Limited). Methods: In this prospective study of 25 patients (11 patients had 15-A2 fracture, 14 patients had 15-B1 fracture) recruited with one year follows up period followed by physical exercises after one month of the surgery. The fractures were treated with two different plates: 3.5 mm wise lock clavicle hook plate and 3.5 mm wise lock superior anterior clavicle plate. X-ray was used to check the union, non-union. Functional outcome of the patients were assessed by the visual analogue scale (VAS) score at post-operative follow up at 4 weeks, 12 weeks, 6 months and 1 year. Results: Postoperative outcome was good with none of the patients showing non-union or delay in the union of fracture site. The encountered complication registered were residual pain which was mild (4 cases), and hypoesthesia (2 cases). Conclusions: Osteosynthesis of clavicle fracture with 3.5 mm diameter locking plates attributed as superior, anterior and hook plating system showed excellent results with low rate of complications.

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“…The minimally invasive technique has become a popular surgical modality as it offers biological bone healing with the protection of fracture hematoma since the fracture line is not opened and less soft tissue and periosteal damage occurs with protection of periosteal circulation [10]. In the comparisons with open reduction and plate fixation in several recent studies, the minimally invasive technique has been shown to be successful at a satisfactory level [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…It is based on the principle of causing less injury to soft tissue, protecting periosteal circulation, and providing fracture recovery with secondary callus formation through indirect reduction [8]. The technique is used very often in clavicular fractures in certain circumstances when there is difficulty in obtaining anatomic reduction, orthe proximity to the local neurovascular structures, or the high-risk of injury to these structures.…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive plate osteosynthesiswith the application of a superior anatomic locking plate; is it a suitable treatment approach for AO-OTA Type B clavicular midshaft fractures?

Dedeoğlu¹

2017

Med-Science

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The minimally invasive osteosynthesis technique has gained attention in fracture treatment in recent years. The aim of this study was to evaluate the effects of the minimally invasive plate osteosynthesis (MIPO) technique, on clinical and radiological outcomes in the surgical treatment of AO-OTA Type B (wedge) clavicular midshaft fractures. This prospective study included twenty-three patients who were diagnosed with acute clavicular midshaft fracture where surgical intervention was indicatedand MIPO was performed between February 2014 and April 2016.Exclusion criteria were patients with non-displaced fractures, pathological fractures, open fractures, cases where theindex trauma was three weeks ago, or those with concomitant neurovascular injuries.The patients comprised of 16 males and 7 females with a mean age of 36.5 years (range, 18-65 years).The mean time from trauma to surgery was 6.1 days (range, 3-12 days).The mean follow-up period was 15.3 months (range: 12-18 months). The mean duration of surgery was 65.5 mins (range: 50-80 mins). Anatomic reduction was obtained in 11 (47%) patients, of whom 7 were Type B1, 4 were Type B2, and 1 was Type B3. The mean time to union was found to be 15.9 weeks (range: 10-24 weeks). After union was confirmed, the mean Constant Murley score was 83 (range: 68-92) and the mean UCLA score was 29.95 (range: 23-34). The mean proportional length difference in the clavicle was 0.32% (range:-0.55 to +1.63).There was no statistically significant difference for the Constant Murley score and UCLA score between patients with anatomic reduction achieved and not achieved (p=0.36, p=0.43 respectively). Osteosynthesis with a minimally invasive percutaneously applied plate (MIPO) could be a successful therapeutic option for the management of acute, displaced AO OTA Type B clavicular midshaft fractures.

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Comparison between open plating versus minimally invasive plate osteosynthesis for acute displaced clavicular shaft fractures

Cited by 43 publications

References 21 publications

Surgical complications following ESIN for clavicular mid-shaft fractures do not limit functional or patient-perceived outcome

Surgical complications following ESIN for clavicular mid-shaft fractures do not limit functional or patient-perceived outcome

Treatment of clavicle fracture using wise lock clavicle hook plate and wise lock superior anterior clavicle plate

Minimally invasive plate osteosynthesiswith the application of a superior anatomic locking plate; is it a suitable treatment approach for AO-OTA Type B clavicular midshaft fractures?

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