Klavikulafrakturen

Wurm, Markus; Beirer, Marc; Biberthaler, Peter; Kirchhoff, Chlodwig

doi:10.1007/s00113-018-0575-7

Cited by 10 publications

(5 citation statements)

References 68 publications

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“…Not only the degree of dislocation but also patients' activity level are important factors for decision making whether to operate or treat the fracture conservatively. The incidence of medial clavicle fractures is rather low especially when compared to midshaft or lateral clavicle fractures accounting for 2-9.3% of all clavicle fractures [2,3,23,28,35]. Therefore we reached out to address this rare entity and elucidate findings including concomitant injuries and present results to our operative techniques as described by Siebenlist et al [27].…”

Section: Discussionmentioning

confidence: 97%

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Excellent clinical and radiological outcome following locking compression plate fixation of displaced medial clavicle fractures

Wurm

Siebenlist

Zyskowski

et al. 2021

BMC Musculoskelet Disord

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Background Treatment of medial clavicle fractures is still controversially discussed in the community of upper extremity surgeons. An increasing number of symptomatic non-unions following conservative treatment of displaced fractures led to the development of various surgical approaches. Aim of this study was to evaluate the clinical and radiological outcome following operative treatment of displaced medial end clavicle fractures. Methods Patients who presented with a displaced fracture of the medial clavicle between September 2012 and December 2019 were retrospectively enrolled in this study. All patients were operatively treated with open reduction and internal fixation (ORIF) using an anatomically precontoured locking compression plate (LCP) originally designed for the lateral clavicle (Synthes®, Umkirch, Germany). Functional outcome was recorded using the American Shoulder and Elbow Surgeons (ASES) Score, the Munich Shoulder Questionnaire (MSQ), Shoulder Pain and Disability Index (SPADI) and Constant Score. Results Overall 18 patients with a mean age of 54.5 ± 23.5 years suffering from a displaced fracture of the medial clavicle were identified. The mean follow-up was 40.9 ± 26.2 months. The mean ASES accounted for 88.3 ± 20.8 points, the mean MSQ was 83.1 ± 21.7 points, the mean SPADI was 85.6 ± 22.5 and a mean normative age- and sex-specific Constant Score of 77.5 ± 19.1 points resulted. No minor or major complications were observed. Radiologic fracture consolidation was achieved in all patients after a mean of 6.4 months. Conclusion Surgical treatment of displaced medial clavicle fractures using an anatomically precontoured locking plate originally designed for the lateral clavicle led to very good to excellent clinical and functional results. Trial registration No: DRKS00024813, retrospectively registered 19.03.2021 (www.drks.de).

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Section: Discussionmentioning

confidence: 97%

“…The incidence of medial clavicle fractures is far less frequent compared to midshaft or lateral clavicle fractures accounting for 2-9.3% of all clavicle fractures [2,3,23,28,35]. High-energy trauma (i.e.…”

Section: Introductionmentioning

confidence: 99%

Excellent clinical and radiological outcome following locking compression plate fixation of displaced medial clavicle fractures

Wurm

Siebenlist

Zyskowski

et al. 2021

BMC Musculoskelet Disord

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“…Some studies [ 15 , 16 ] have reported that early surgical treatment was adopted for posterior SCD, and that open reduction and internal fixation became the preferred treatment for this fracture type for young patients and patients requiring high activity [ 17 ]. While there are numerous surgical techniques, including large Kirschner wire, cannulated screws, suture anchor fixation or plate fixation [ 18 – 22 ], it is worth noting that operative methods utilizing metallic pin fixation with K-wires, Steinmann pins, and threaded pins with bent ends are associated with severe complications, including fatalities, across all age groups and are now contraindicated [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Novel sternoclavicular hook plate for the treatment of posterior sternoclavicular dislocation: a retrospective study

Xin,

Wang,

Zhang

et al. 2023

J Orthop Surg Res

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Background Controversies regarding the optimal internal fixation method for posterior sternoclavicular dislocation (SCD) exist. Therefore, this study aimed to investigate the clinical efficacy of a new type of sternoclavicular hook plate for treating posterior SCD. Methods Eleven patients (eight men and three women) with posterior SCD who underwent treatment with the new sternoclavicular hook plate from June 2011 to January 2022 were retrospectively analyzed. The patients’ ages ranged from 33 to 71 years (54.91 ± 13.58 years). Operation time, blood loss, length of hospital stay, and postoperative complications were recorded. Postoperative joint reduction and healing were evaluated using radiography and computed tomography. The Constant–Murley and Rockwood sternoclavicular joint scores were used to evaluate the functional recovery of the affected limb 12 months after surgery. Results All 11 patients were followed up for 12–24 months (18.00 ± 3.74 months). All incisions healed by first intention. The healing time ranged from 9 to 13 days (10.82 ± 1.54 days), and the joint healing time was 3–4 months (3.55 ± 0.52 months). The operation time was 45–75 min (59.55 ± 11.06 min), intraoperative blood loss was 22–58 mL (39.91 ± 11.07 mL), and the length of hospitalization was 6–14 days (9.91 ± 3.27 days). There were no complications such as infections, internal fixation failure, or nerve injury. The Constant–Murley score was 93.64 ± 9.01 at 12 months postoperatively. The Rockwood score was 13.36 ± 1.86, of which nine cases were excellent, one case was good, and one case was fair. Conclusion The novel sternoclavicular hook plate is effective for the treatment of posterior SCD. This novel device can facilitate early joint functional exercises and good functional recovery.

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“…Operative treatment can be performed using various fixation devices such as intramedullary fixation or plate osteosynthesis depending on the individual Fx pattern [15][16][17][18][19]. Known indications for surgery include open Fx, displacement of more than 100% or shortening of more than 14 mm in female and 16 mm in male patients or symptomatic non-unions of the Fx [4,8,20]. The identification of present Fx patterns is crucial for indicating whether anterior or superior plating should be performed.…”

Section: Discussionmentioning

confidence: 99%

Comparable results using 2.0-mm vs. 3.5-mm screw augmentation in midshaft clavicle fractures: a 10-year experience

et al. 2021

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Purpose Absence of cortical alignment in wedge-shaped and multifragmentary fractures (Fx) results in decreased fixation stability. The aim of this study was to compare the outcome using 2.0- vs. 3.5-mm screws for open reduction and internal fixation (ORIF) in dislocated, wedge-shaped or fragmentary midshaft clavicle fractures. Materials and methods Patients suffering from AO/OTA 15 2.A-C midshaft clavicle fractures were operatively treated between 2008 and 2018. 2.0- or 3.5-mm cortical screws were used to restore anatomic alignment in dislocated, wedge-shaped and fragmentary clavicle fractures. Data of radiologic outcome were collected until fracture consolidation was identified. Results 80 consecutive patients with a mean age of 44.5 ± 16.3 years, who were operatively treated for dislocated midshaft clavicle fractures were enrolled. 40 patients were treated using 2.0-mm and 40 patients using routine 3.5-mm cortical screws, respectively. Time to fracture consolidation was 12.8 ± 7.8 months. No mal- or non-unions occurred during routine follow-up until 18 months postoperatively. Conclusion Restoring anatomic alignment in wedge or fragmentary clavicle fractures can ultimately be addressed using cortical screw augmentation. Both groups showed comparable results with respect to fracture reduction, fixation and stability as well as time to consolidation of the fracture, while the 2.0-mm screw diameter was associated with easier handling of small Fx fragments.

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Klavikulafrakturen

Cited by 10 publications

References 68 publications

Excellent clinical and radiological outcome following locking compression plate fixation of displaced medial clavicle fractures

Excellent clinical and radiological outcome following locking compression plate fixation of displaced medial clavicle fractures

Novel sternoclavicular hook plate for the treatment of posterior sternoclavicular dislocation: a retrospective study

Comparable results using 2.0-mm vs. 3.5-mm screw augmentation in midshaft clavicle fractures: a 10-year experience

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