Elastic titanium nails in minimally invasive osteosynthesis for midclavicular fractures

Müller, Marcus; Burger, C.; Florczyk, A.; Striepens, Nadine; Rangger, C.

doi:10.1007/s00104-006-1284-2

Cited by 22 publications

(13 citation statements)

References 30 publications

(69 reference statements)

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“…14,[23][24][25][26][27][28][29][30][31][32] In addition, 6 studies included treatment of nonunions or delayed unions and did not make a distinction with the treatment of acute fractures when describing the complications, 16,33-37 2 studies were surgical technique papers, 38,39 1 study reported on plate fixation, 40 1 study lacked a definition for dislocation, 41 1 study did not make a distinction between angulation and comminution, 42 1 study included fewer than 10 patients 15 and, in 1 study, 11 authors reported on a previously reported patient population. Reported rates for major complications like bonehealing problems and deep infections requiring implant removal were no higher than 7%.…”

Section: Discussionmentioning

confidence: 99%

Systematic review of complications after intramedullary fixation for displaced midshaft clavicle fractures

et al. 2013

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Background:The number of displaced midshaft clavicle fractures treated surgically is increasing, and open reduction and intramedullary fixation is an emerging surgical treatment option. The study quality and scientific levels of published evidence in which possible complications of this treatment are presented vary greatly. Methods:We performed systematic computer-based searches of EMBASE and PubMed/MEDLINE. Studies included for review reported complications after intramedullary fixation alone or in comparison to either treatment with plate fixation and/or nonoperative treatment. The Level of Evidence rating and Quality Assessment Tool were used to assess the methodological quality of the studies. Included studies were ranked according to their levels of evidence.Results: Six articles were eligible for inclusion and final quality assessment; 3 studies were graded the highest level of evidence. Major complications like bone-healing problems and deep infections requiring implant removal were reported at a rate no higher than 7%. Reported rates for minor complications, such as wound infection and implant irritation that could be resolved without further surgery, were as high as 31%. Conclusion:The noted rates for major complications requiring additional surgery were low, but implant-related problems that require additional surgery might present with high prevalence. Owing to routine implant removal, treatment with intramedullary fixation often requires an additional surgical procedure.Contexte : Le nombre de fractures déplacées de la diaphyse claviculaire traitées chirurgicalement est en hausse et la réduction ouverte avec fixation intramédullaire est une option chirurgicale émergente. La qualité des études et le niveau scientifique des preuves publiées concernant les complications possibles de ce traitement varient beaucoup.Méthodes : Nous avons procédé à une interrogation systématique des bases de données informatiques EMBASE et PubMed/MEDLINE. Les études retenues pour examen faisaient état de complications après le recours à la fixation intramédullaire seule ou comparée à un traitement par plaque et vis et(ou) un traitement non chirurgical. Nous avons utilisé le classement par niveaux de preuve ou un outil d'évaluation qualitative pour mesurer la qualité méthodologique des études. Les études retenues ont été classées selon leur niveau de preuve.Résultats : Nous avons retenu 6 articles pour inclusion et évaluation finale de leur qualité; 3 des études présentaient le niveau de preuve le plus élevé. Les complications majeures, notamment des problèmes de cicatrisation de l'os et d'infection profonde nécessitant le retrait de l'implant, ont été signalés selon un taux n'excédant pas 7 %. Les taux de complications mineures rapportées, telles qu'infection de plaie et irritation due à l'implant, qui ont pu rentrer dans l'ordre sans autre chirurgie, se sont élevés à 31 %. Conclusion :Les taux signalés de complications majeures ayant nécessité une autre chirurgie ont été faibles, mais les problèmes relatifs aux implants ay...

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Section: Discussionmentioning

confidence: 99%

Systematic review of complications after intramedullary fixation for displaced midshaft clavicle fractures

et al. 2013

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“…The advantages of intramedullary devices (e.g. titanium elastic nailing) include them being minimally invasive and a low cost, with shoulder mobilisation at an early stage [15,16]. Thus, different internal fixation devices have their own merits.…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive fixation of midclavicular fractures with threaded elastic intramedullary nails

Wang

Xiong

et al. 2015

Eur J Orthop Surg Traumatol

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“…Als Implantat wurde neben einer 3,5-mm-Zugschraube eine winkelstabile Kleinfragmentplatte aus Reintitan (Firma DePuy Synthes, Bochum) verwendet (l " Abb. 2 Abstract ! A 32-year-old patient suffered from progredient intermittent claudication of the left arm 6 months after plate fixation of a midshaft clavicular fracture (OTA classification type A).…”

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“…Die Klavikulafraktur ist mit einem Anteil von 5-12 % beim Erwachsenen eine häufige Verletzung. In 65-81% ist das mittlere Drittel betroffen [2]. In vielen Fällen können diese Frakturen konservativ mit guten funktionellen Ergebnissen zur Ausheilung gebracht werden [3].…”

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Thrombembolische Komplikation 6 Monate nach Plattenosteosynthese einer Klavikulaschaftfraktur

Koob

Weber²,

Burger

et al. 2014

Z Orthop Unfall

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A 32-year-old patient suffered from progredient intermittent claudication of the left arm 6 months after plate fixation of a midshaft clavicular fracture (OTA classification type A). The radiological analysis revealed a subacute stenosis of the left subclavian artery, caused by a granuloma at the tip of a protruding screw, which triggered recurrent emboli and symptoms. Reperfusion was achieved by catheter embolectomy and complete removal of the plate. The case shows that, when performing plate osteosynthesis of clavicular fractures, special consideration has to be given to the length and protrusion of the applied screws. Due to the anatomic proximity not only acute, but also subsequent irritation of the subclavian vessels is possible.

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Elastic titanium nails in minimally invasive osteosynthesis for midclavicular fractures

Cited by 22 publications

References 30 publications

Systematic review of complications after intramedullary fixation for displaced midshaft clavicle fractures

Systematic review of complications after intramedullary fixation for displaced midshaft clavicle fractures

Minimally invasive fixation of midclavicular fractures with threaded elastic intramedullary nails

Thrombembolische Komplikation 6 Monate nach Plattenosteosynthese einer Klavikulaschaftfraktur

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