Post-operative numbness and patient satisfaction following plate fixation of clavicular fractures

Wang, Kemble K.; Dowrick, Adam; Choi, John Y.; Rahim, Reza; Edwards, Elton

doi:10.1016/j.injury.2010.02.028

Cited by 53 publications

(47 citation statements)

References 10 publications

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“…2,11,38 Numerous reports in the literature have proven a lower incidence of re-fracture following removal of an intramedullary device compared to that following plate removal. 25,39 The fact that no patients sustained re-fracture in our series may be attributed to our limited sample size and short period of follow-up. Despite this, all patients who participate in activities with high-energy mechanisms of injury should be warned about returning to activity too early following removal of the nail.…”

Section: Discussionmentioning

confidence: 82%

“…There is also less hardware prominence and a lower re-fracture rate when compared with plate fixation. 25 The majority of intramedullary devices do, however, require removal after fracture union, but this can be achieved via a small skin incision, and some centres even remove the nail under local anaesthetic. 4 Controversies regarding the management of displaced, closed midshaft clavicle fractures in adults are evident from the volume of literature available on this topic.…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of treatment of displaced midshaft clavicle fractures in adolescents using titanium elastic nails

Bithrey

Merwe

2017

SA orthop. j.

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Section: Discussionmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Outcomes of treatment of displaced midshaft clavicle fractures in adolescents using titanium elastic nails

Bithrey

Merwe

2017

SA orthop. j.

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“…Although supraclavicular nerves are always discovered while dissection is carried down in open reduction and plate fixation, they are sometimes cut away unintentionally or inevitably during the approach or manipulation of fracture fragments. One study, which compared the skin numbness between horizontal and vertical incisions in the open plating of clavicular shaft fractures, reported that the conventional horizontal incision had greater severity of numbness and greater awareness of it [21]. Although the skin numbness may be trivial complication, we thought that the impact on the patient may be more severe as it is.…”

Section: Discussionmentioning

confidence: 83%

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

Sohn¹,

Kim²,

Shon³

2015

Injury

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“…The prevalence of sensory loss associated with supraclavicular nerve damage following open reduction was reported as 29% [18]. In a study which evaluated 269 patients undergoingMIPO, sensory loss associated with nerve damage was reported in only one patient.…”

Section: Discussionmentioning

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.

show abstract

Post-operative numbness and patient satisfaction following plate fixation of clavicular fractures

Cited by 53 publications

References 10 publications

Outcomes of treatment of displaced midshaft clavicle fractures in adolescents using titanium elastic nails

Outcomes of treatment of displaced midshaft clavicle fractures in adolescents using titanium elastic nails

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

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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