Operative Treatment of Clavicle Midshaft Fractures: Comparison between Reconstruction Plate and Reconstruction Locking Compression Plate

Cho, Chul-Hyun; Song, Kyung‐Bin; Min, Byung Woo; Bae, Ki Cheor; Lee, Kyung-Jae

doi:10.4055/cios.2010.2.3.154

Cited by 41 publications

(31 citation statements)

References 28 publications

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“…Our results can be compared with other recent studies (Table 1) [3,4,6,8,10,12,16,19,23,24]. Our investigation is the only one that compared nonoperative versus plating treatment using both DASH and CSS scores.…”

Section: Discussionmentioning

confidence: 61%

“…Third, DASH and CSS scores do not consider individual patient differences resulting from age, general health, or personal problems. Even so, DASH and CSS have been used widely as standard measures of function [3,4,6,8,10,12,16,19,23,24]. Fourth, there was substantial preoperative delay in some cases, so some fractures may have partially healed by 28 days.…”

Section: Discussionmentioning

confidence: 99%

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Function Plateaus by One Year in Patients With Surgically Treated Displaced Midshaft Clavicle Fractures

Schemitsch

Veillette

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Based on short-term (1 year or less) followup, primary fixation of displaced midshaft clavicle fractures reportedly results in better function compared with that reported for nonoperative methods. Whether better function persists beyond 1 year is unclear. Questions/purposes For displaced midshaft clavicle fractures, do the better mean Disabilities of the Arm, Shoulder and Hand (DASH) and Constant-Murley Shoulder (CSS) scores for operative versus nonoperative treatment at 1 year change between 1-and 2-year followup? Patients and Methods We previously reported 132 patients in a randomized prospective trial at 1 year, and here we report a further followup of 95 of the 132 patients (72%) at 2 years after injury. We evaluated all patients with the DASH and CSS scores. Results The mean DASH and CSS scores were similar at 2 years compared with 1 year postinjury for both the nonoperated and operated patients. The mean scores for the operated patients remained higher than those in the nonoperative group (DASH operative 4

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Function Plateaus by One Year in Patients With Surgically Treated Displaced Midshaft Clavicle Fractures

Schemitsch

Veillette

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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show abstract

“…In a study by Lazarus MD [11] , union of the fracture occured between 6-12 weeks. In a study by Cho et al [12] , bony union time was 13.2 weeks and 14.6 weeks for locking compression plate fixation and reconstruction plate fixation respectively. In our study, the average time for union of majority of the fractures was 12.7 weeks (56 patients i.e 93.3%).…”

Section: Discussionmentioning

confidence: 99%

Locking plate fixation of mid-shaft clavicle fractures: analysis of complications, reoperation rates and functional outcome

Sk¹,

Na²

2017

Int. J. Orthop. Sci.

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Introduction: Clavicle fractures account for about 5-10% of all fractures and most of these fractures are located in the middle third of clavicle. Traditionally, these fractures have been treated by conservative methods. In recent years, surgical fixation of these fractures is becoming a prefered method of treatment and locking plate fixation is a commonly used mode of osteosynthesis. However, the functional results and complications of locking plate fixation documented in the literature are not clear and often conflicting. So the aim of this study is to analyse the results of locking plate osteosynthesis of mid-shaft clavicle fractures. Objective: To study complications, reoperation rates and functional outcome of clavicle fractures treated with locking plate osteosynthesis. Methods: Sixty Seven cases of mid-shaft clavicle fractures who underwent locking plate fixation in our orthopaedic department from January 2013 to December 2016 were identified. Those patients who attended regular follow-up and had recorded Constant-Murley Scores (CMS) were included. Seven patients who did not attend regular follow-up or had incomplete records were excluded from analysis. The study group comprising 60 patients were analysed for complications and functional outcome by studying patient records and x-rays. Results: There was one case of failure of fixation with non-union and 8 patients had their plate removed for discomfort. Overall, there were 92 % excellent to good, 5% fair and 3% poor results. There were no cases of infection. Conclusion: The locking plate osteosynthesis gives good to excellent functional outcome in most of the patients. It helps with early mobilisation and prevents shoulder stiffness. The overall rate of implant failure and non-union after plate fixation is low. The necessity of removal of implant in significant number of patients should be kept in mind.

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“…The recommended plate type is compression plate or lag screw with a neutralization plate, where each segment carries a minimum of 3 bicortical screws. (4) A comparative study (30) on the use of reconstruction plates versus reconstruction locking compression plates in the treatment of midshaft clavicle fractures showed that both implants provided good stability. In this study, aside from one case of infected nonunion, the additional 4 cases of nonunion received a reconstruction plate with autogenous bone graft (one case without bone graft), where all 4 cases achieved successful bone union.…”

Section: Discussionmentioning

confidence: 99%

Operative Treatment for Midshaft Clavicle Fractures in Adults: A 10-Year Study Conducted in a Korean Metropolitan Hospital

Baek

Lee

Kim

et al. 2016

Journal of Trauma and Injury

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Purpose: While all midshaft clavicle fractures have traditionally been treated with conservative measures, recent operative treatment of displaced, communited midshaft clavicle fractures has become more common. Though a recent increase in operative treatment for midshaft clavicle fractures, we have done the operative methods in limited cases. The aim of this study is to present indications, operative techniques and outcomes of the experienced cases that have applied to this limited group over the previous 10 years.Methods: This study consists of a retrospective review of radiological and clinical data from January of 2005 to July of 2015. Operative criteria for midshaft clavicle fractures having considerable risk of bone healing process were 4 groupsa floating shoulder, an open fracture, an associated neurovascular injury, and a nonunion case after previous treatment.Results: The study consisted of 18 patients who had operative treatment for midshaft clavicle fractures in adults. The most common surgical indication was a floating shoulder (10 cases, 55.6%), followed by nonunion (5 cases, 27.8%), an associated neurovascular injury (4 cases, 22.2%), and open fracture (3 cases, 16.7%). All cases were treated by open reduction and internal fixation in anterosuperior position with reconstruction plate or locking compression plate. Bone union was achieved in all cases except 1 case which was done bone resection due to infected nonunion. Mean bone union period was 19.5 weeks. There were no postoperative complications, but still sequelae in 4 cases of brachial plexus injury. Conclusion:We have conducted an open reduction and internal fixation by anterosuperior position for midshaft clavicle fractures in very limited surgical indications for last 10 years. Our treatment strategy for midshaft clavicle fractures showed favorable radiological results and low postoperative complications. [ J Trauma Inj 2016; 29: 105-115 ]

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Operative Treatment of Clavicle Midshaft Fractures: Comparison between Reconstruction Plate and Reconstruction Locking Compression Plate

Cited by 41 publications

References 28 publications

Function Plateaus by One Year in Patients With Surgically Treated Displaced Midshaft Clavicle Fractures

Function Plateaus by One Year in Patients With Surgically Treated Displaced Midshaft Clavicle Fractures

Locking plate fixation of mid-shaft clavicle fractures: analysis of complications, reoperation rates and functional outcome

Operative Treatment for Midshaft Clavicle Fractures in Adults: A 10-Year Study Conducted in a Korean Metropolitan Hospital

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