Significant pain reduction and improved functional outcome after surgery for displaced midshaft clavicular fractures

Eden, Lars; Ziegler, Dirk; Gilbert, Fabian; Fehske, Kai; Fenwick, Annabel; Meffert, Rainer H.

doi:10.1186/s13018-015-0336-z

Cited by 15 publications

(8 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, in the current study, the pain score was higher in group I than group II. These results are supported by the study of Eden et al [16] , who used three different therapeutic modalities for patients with displaced midshaft clavicular fractures. They showed good or excellent results after one year.…”

Section: Resultssupporting

confidence: 62%

Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults

Sherif

Mohamed

Hassan

2021

International Journal of Medical Arts

View full text Add to dashboard Cite

Background: Clavicle fractures are representing 2.6% of total body fractures. The common fracture is the midshaft fracture of the clavicle. The outcomes of non-operative treatment are not preferred nowadays, so the trend to surgical treatment of these fractures has grown. The aim of the work:The current study aimed to compare the outcomes of conservative and operative treatment of displaced midshaft clavicular fractures with plate fixation to clarify the merits and possible disadvantages of each method.Patients and Methods: Twenty patients as a convenient sample were included. These patients were subdivided into two groups, group I for conservative treatment and group II for operative treatment with plate fixation. All patients will be subjected to complete history taking, clinical, general &local examination, a standard anteroposterior view of the clavicle was done and follow up average 6 months.Results: At the end of follow up period, according to Constant Shoulder Score (CSS), 11 patients had excellent results (CSS: < 11), 4 patients had good results (CSS: 11-20), 3 patients had fair results (CSS: 21-30), 2 patients had poor results (CSS: >30). Pain VAS was significantly higher in group I compared with group II. There is a significant difference found between the groups as regard (outcome, pain VAS, the strength of abduction and the extent of internal rotation) P value < 0.05. There is no significant difference found between the groups as regard (socio-demographic data, comorbidities, fracture characteristics, fractures classification, degree of forward flexion, degree of lateral elevation and extent of lateral rotation) P value >0.05. Conclusion:Operative treatment with plate fixation is better than conservative treatment in management of pain, high union rate, good functional outcomes and greater patients satisfactory after displaced mid shaft clavicular fractures.

show abstract

Section: Resultssupporting

confidence: 62%

Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults

Sherif

Mohamed

Hassan

2021

International Journal of Medical Arts

View full text Add to dashboard Cite

show abstract

“…The only difference between the two is that the Rockwood pin also has a trocar point on the machine thread end of the pin. Concerning the Titanium Elastic Nail (TEN) (Depuy Synthes, Warsaw, IN, USA or Stryker, Kalamazoo, MI, USA) the 43 studies that were incorporated in the analysis were comprised of seven level I, [25][26][27][28][29][30][31] eight level II, [32][33][34][35][36][37][38][39] eleven level III [40][41][42][43][44][45][46][47][48][49][50] and seventeen level IV [5,[51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66] studies. Another type of fixation described was the Sonoma CRx (Arthrex, Naples, FL, USA) for which 6 studies (three level I, [67][68][69] one level II, [70...…”

Section: Resultsmentioning

confidence: 99%

Functional outcomes and complications of intramedullary fixation devices for Midshaft clavicle fractures: a systematic review and meta-analysis

Hoogervorst

Dam²,

Hannink

2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background: An alternative to the current gold standard in operative treatment of displaced midshaft clavicle fractures (DMCF) using plate osteosynthesis, is internal fixation by means of intramedullary fixation devices. These devices differ considerably in their specifications and characteristics and an evaluation of their clinical results is warranted. The aim of this systematic review is to generate an overview of functional outcomes and complications in the management of DMCF per available intramedullary device. Methods: A systematic review was conducted to identify all papers reporting functional outcomes, union rates and/or complications using an intramedullary fixation device for the management of midshaft clavicle fractures. Multiple databases and trial registries were searched from inception until February 2020. Meta-analysis was conducted based on functional outcomes and type of complication per type of intramedullary fixation device. Pooled estimates of functional outcomes scores and incidence of complications were calculated using a random effects model. Risk of bias and quality was assessed using the Cochrane risk of bias and ROBINS-I tools. The confidence in estimates were rated and described according to the recommendations of the GRADE working group. Results: Sixty-seven studies were included in this systematic review. The majority of studies report on the use of Titanium Elastic Nails (TEN). At 12 months follow up the Titanium Elastic Nail and Sonoma CRx report an average Constant-Murley score of 94.4 (95%CI 93-95) and 94.0 (95%CI 92-95) respectively (GRADE High). The most common reported complications after intramedullary fixation are implant-related and implant-specific. For the TEN, hardware irritation and protrusion, telescoping or migration, with a reported pooled incidence 20% (95%CI 14-26) and 12% (95%CI 8-18), are most common (GRADE Moderate). For the Rockwood/Hagie Pin, hardware irritation is identified as the most common complication with 22% (95%CI 13-35) (GRADE Low). The most common complication for the Sonoma CRx was cosmetic dissatisfaction in 6% (95%CI 2-17) of cases (GRADE Very low).

show abstract

“…( 1 ), ( 2 However, in our study, when pain was present, the group of patients treated with plate presented a tendency (p = 0.062) to lower moderate/severe pain in the immediate postoperative period compared to patients treated with nail. Eden et al ( 27 performed the pain evaluation of 102 patients and found that in the immediate postoperative period, the treatment with plate and nail presented similar pain values. However, the patients operated with nail evolved with less pain compared to patients operated with plate.…”

Section: Discussionmentioning

confidence: 99%

Clinical Evaluation of the Treatment of Clavicle Fractures: Intramedullary Nail × Plate

Storti¹,

Camilo

Silva

et al. 2021

Acta ortop. bras.

View full text Add to dashboard Cite

Objective: Studies confirm the benefit of surgical treatment for fixation of displaced midshaft clavicle fractures. Plate fixation and intramedullary nail are the two most used techniques. Our study seeks to compare these two surgical techniques. Methods: This is a retrospective study, conducted by the evaluation of patients treated for displaced midshaft clavicle fracture with intramedullary nail, and plate and screws. Socioeconomic variables were collected, a visual pain scale questionnaire was applied, the shoulder function was measured using CONSTANT and UCLA scores, and radiography was performed to verify the consolidation and evaluation of the final clavicle shortening. Results: Sixty-five patients were evaluated, 36 (55.4%) of which were subjected to clavicle fixation with plate and screws and 29 (44.6%) with intramedullary nail. The median shortening was 0.1mm for plate and 5.8mm for nail (p = 0.001). The UCLA score shows an average of 35 in the plate group and 35 in the intramedullary group. The median CONSTANT scores were 96.5 for plate and 95 for nail, without significance. In all groups, 13 (20%) complications were registered, 9 fixed with plate and 4 fixed with intramedullary nail. The most common complication was skin erosion with exposure of the synthetic material. Conclusion: The two techniques present satisfactory results for the treatment of displaced midshaft clavicle fractures. Level of Evidence III, Therapeutic Studies Investigating the Results of Treatment.

show abstract

Significant pain reduction and improved functional outcome after surgery for displaced midshaft clavicular fractures

Cited by 15 publications

References 16 publications

Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults

Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults

Functional outcomes and complications of intramedullary fixation devices for Midshaft clavicle fractures: a systematic review and meta-analysis

Clinical Evaluation of the Treatment of Clavicle Fractures: Intramedullary Nail × Plate

Contact Info

Product

Resources

About