Long-term Patient-reported Outcome After Fractures of the Clavicle in Patients Aged 10 to 18 Years

Randsborg, Per-Henrik; Fuglesang, Hendrik F. S.; Røtterud, Jan Harald; Hammer, Ola-Lars; Sivertsen, Einar Andreas

doi:10.1097/bpo.0000000000000082

Cited by 58 publications

(77 citation statements)

References 26 publications

(20 reference statements)

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“…One of the studies was excluded as it didn't report the outcome of surgical fixation [8]. Table 1 shows the details of the included studies [1,11,12,[14][15][16][17][18]. All but one study [16] were retrospective series.…”

Section: Resultsmentioning

confidence: 99%

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Surgical management of displaced midshaft clavicle fracture in skeletally immature patient- What is the evidence?

Saremi¹,

Asadollahi²

2017

Rheumatol Orthop Med

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Section: Resultsmentioning

confidence: 99%

“…Although the principles of surgical treatment of clavicle fractures in adults may not be quite applicable to the paediatric population due to high healing and remodelling potentials [1,5,[10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Surgical management of displaced midshaft clavicle fracture in skeletally immature patient- What is the evidence?

Saremi¹,

Asadollahi²

2017

Rheumatol Orthop Med

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“…According to previous reports [19,26,27], the rate of dissatisfaction with the scar after operative treatments ranged from 11% to 20%. In our study, the rate of aesthetic concern for scar was much higher in the plate group (50%) than in the ESIN (4.4%) group, because the length of incision was significantly longer in Plate group.…”

Section: Vas = Visual Analogue Scalementioning

confidence: 98%

Optimal operative choice for displaced midshaft clavicle fractures in adolescents: a comparative study of intramedullary flexible nails and plating

Rai²,

et al. 2020

Preprint

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Background: Traditionally, operative treatment for displaced midshaft clavicle fractures in adolescents has been achieved by a plate and screws. However, a minimally invasive trend in most of the surgeries has led the pediatric orthopedic surgeons to use elastic stable intramedullary nail (ESIN) for displaced midshaft clavicle fractures. This study aims to compare the clinical outcomes of adolescent patients who were surgically treated with the (ESIN) and plate for displaced midshaft clavicle fractures.Methods: A total of 73 patients, aged between 10 years and 14 years, with displaced midshaft clavicle fractures were treated surgically from January 2014 to January 2018. Patients were categorized into two groups, ESIN (n = 45; male 27, female 18) and plate (n = 28; male17, female 11) according to surgical technique. The preoperative data, including baseline information of the patients, radiographic parameters, and types of surgical procedure, were collected from the hospital database. The postoperative data, including clinical outcome and complications, were collected during the follow-up visit. Clinical outcome was evaluated using the American Shoulder and Elbow Surgeons (ASES).Results: The average age of the patients in the ESIN group was 12.2±1.5 years, and that in the Plate group was 12.2±1.4 years. There was a significantly less operative time, reduced estimated blood loss (EBL), shortened hospital stay and smaller incision for ESIN group as compared to the Plate group (P<0.01). The rate of scar concern was much higher in plate (14/28, 50%) than ESIN (2/45, 4.4%) , (P <0.01). There was no statistically significant difference in shoulder function between the ESIN group (94.5±2.8) and the Plate group (95.1±2.7), P = 0.36. In all the cases, implant removal was performed between 4 and 12 months postoperatively, and the ESIN group had significantly less operative time, EBL and shortened hospital stay as compared to the plate for implant removal (P<0.01).Conclusion: Both the ESIN and Plate are safe and effective treatment methods for displaced midshaft clavicle fractures in adolescents. The ESIN is superior to plate in terms of shorter operative time, less intraoperative radiation exposure, shorter hospital stay, less scar concern and easier implant removals. However, ESIN for heavier kids remain cautious.

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“…Klinisch konnte für eine Verkürzung über 18 mm bei Männern und 14 mm bei Frauen ein unbefriedigendes funktionelles Ergebnis gezeigt werden [9]. Auch wenn eine Studie bei Verkürzungen von über 20 mm keinen Einfluss auf ein schlechtes Ergebnis gesehen hat [10], finden sich in den meisten klinischen und experimentellen Studien doch Hinweise, dass eine Verkürzung von 15-20 mm und mehr als kritisch zu sehen ist [4,[11][12][13][14].…”

Section: Pseudarthroseunclassified

“…In dieser Level-1-Studie fanden die Autoren eine signifikant niedrigere Pseudarthrosen-und Fehlstellungsrate bei signifikant besserer Funktion in der Gruppe der operierten Patienten. Die Diskussion bezüglich operativer und nichtoperativer Therapie ist jedoch nicht abschließend geklärt, sodass die nichtoperative Therapie mit Sicherheit weiterhin ihren Stellenwert in der Behandlung der dislozierten Klavikulaschaftfraktur besitzt [4,5].…”

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Klavikulaschaftfraktur

Gösling

2016

Trauma Berufskrankh

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Long-term Patient-reported Outcome After Fractures of the Clavicle in Patients Aged 10 to 18 Years

Abstract: Level IV-retrospective case series.

Cited by 58 publications

References 26 publications

Surgical management of displaced midshaft clavicle fracture in skeletally immature patient- What is the evidence?

Surgical management of displaced midshaft clavicle fracture in skeletally immature patient- What is the evidence?

Optimal operative choice for displaced midshaft clavicle fractures in adolescents: a comparative study of intramedullary flexible nails and plating

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