The first 100 patients treated with a new anatomical pre-contoured locking plate for clavicular midshaft fractures

Reisch, Tania; Camenzind, Roland S.; Fuhrer, Reto; Riede, Ulf; Helmy, Naeder

doi:10.1186/s12891-018-2396-9

Cited by 15 publications

(14 citation statements)

References 24 publications

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“…All the disadvantages described above might increase operation time in the traditional group. Importantly, the mean operation time of the Nice knot group in the current study (78.56 min) was even less than some previous reports(70-100 min) of open plating for midshaft clavicle fractures [21,22,23]. Additionally, the proportion of Type 2B2 fractures was signi cantly higher in the Nice knot group, which seemed to hint that the method is more suitable for this type of complicated fractures.…”

Section: Discussioncontrasting

confidence: 63%

The comparison of Nice knots and traditional methods as an auxiliary reduction-fixation technique in pre-contoured locking plate fixation for comminuted Robinson type 2B clavicle fracture: a retrospective study

Hong

Wang

Guo

et al. 2020

Preprint

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Background: Open reduction and pre-contoured locking plate fixation is a popular treatment option for displaced midshaft clavicle fracture. Lag screw and cerclage are two main intraoperative techniques to reduce and fix fragments. However, both lag screw and metallic cerclage have disadvantages. The doubled-suture Nice knot has been reported in many areas of orthopedic surgery for its effectiveness. This study aims to compare the outcomes of comminuted mid-shaft clavicle fractures reduced by Nice knots versus traditional techniques (lag screw or/and metallic cerclage) when bridged with pre-contoured locking plates.Methods: We retrospectively reviewed 101 patients (65 females and 36 males) diagnosed with midshaft clavicle fractures with at least one wedge fragment reduced by either Nice knots or traditional methods and bridged with pre-contoured locking plates between December 2016 and April 2019. Operation time, functional outcomes, pain, patient satisfaction, fracture healing and complications were assessed at a follow-up of 12 to 40 months.Results: The mean age of all the patients was 50.8 years. There were 52 and 49 patients in Nice knot group and traditional group respectively, and no differences between two groups was found in general patient characteristics, fracture type, follow up and injury-to-surgery duration. The Nice knot group had significant less operation time (p < 0.01) than the traditional group (mean and standard deviation [SD], 78.6±19.0 compared with 94.4±29.9 minutes, respectively). For healing time, functional score, pain, satisfaction and complications, there was no significant differences between groups, despite the Nice knot group had slightly better results.Conclusions: Both Nice knots and traditional methods treated for comminuted Robinson type 2B clavicle fractures were effective and safe. And the Nice knots seemed to be superior with significant less operation time.

show abstract

Section: Discussioncontrasting

confidence: 63%

The comparison of Nice knots and traditional methods as an auxiliary reduction-fixation technique in pre-contoured locking plate fixation for comminuted Robinson type 2B clavicle fracture: a retrospective study

Hong

Wang

Guo

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Importantly, the mean operation time of the Nice knot group in the current study (78.56 min) was even less than some previous reports (70–100 min) of open plating for midshaft clavicle fractures. [ 20 – 22 ] Additionally, the proportion of Type 2B2 fractures was significantly higher in the Nice knot group, which seemed to hint that the method is more suitable for this type of complicated fractures.…”

Section: Discussionmentioning

confidence: 94%

The comparison of Nice knots and traditional methods as an auxiliary reduction-fixation technique in pre-contoured locking plate fixation for comminuted Robinson type 2B clavicle fracture

et al. 2021

View full text Add to dashboard Cite

Open reduction and pre-contoured locking plate fixation is a popular treatment option for displaced midshaft clavicle fracture. Lag screw and cerclage are 2 main intraoperative techniques to reduce and fix fragments. However, both lag screw and metallic cerclage have disadvantages. The doubled-suture Nice knot has been reported in many areas of orthopedic surgery for its effectiveness. This study aims to compare the outcomes of comminuted mid-shaft clavicle fractures reduced by Nice knots vs traditional techniques (lag screw or/and metallic cerclage) when bridged with pre-contoured locking plates. We retrospectively reviewed 101 patients (65 females and 36 males) diagnosed with midshaft clavicle fractures with at least one wedge fragment reduced by either Nice knots or traditional methods and bridged with pre-contoured locking plates between December 2016 and April 2019. Operation time, functional outcomes, pain, patient satisfaction, fracture healing, and complications were assessed at a follow-up of 12 to 40 months. The mean age of all the patients was 50.8 years. There were 52 and 49 patients in the Nice knot group and traditional group respectively, and no differences between 2 groups were found in general patient characteristics, fracture type, follow up and injury-to-surgery duration. The Nice knot group had significant less operation time ( P < .01) than the traditional group (mean and standard deviation [SD], 78.6 ± 19.0 compared with 94.4 ± 29.9 minutes, respectively). For healing time, functional score, pain, satisfaction and complications, there were no significant differences between groups, despite the Nice knot group had slightly better results. Both Nice knots and traditional methods treated for comminuted Robinson type 2B clavicle fractures were effective and safe. And the Nice knots seemed to be superior with significant less operation time.

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“…Hardware prominence was less when precontoured plate was used. Tania Reisch et al [17] in their research in 100 patients found the new precontoured locking plate fit to the anatomical shape of the clavicle. The implant seems to be reliable regarding handling and complications.…”

Section: Discussionmentioning

confidence: 98%

Functional outcome of unstable clavicle fractures fixed with anatomical locking plate

Neelakrishnan¹,

Ganesh²,

Barathiselvan³

et al. 2019

Int. J. Orthop. Sci.

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Introduction: Fractures of Clavicle are high velocity injuries. Although many methods of treatment have been developed still controversy exists regarding the best treatment of unstable fractures. Aim of the study: Recent studies of nonoperatively treated unstable clavicular fractures have shown a high incidence of non union and unsatisfactory functional outcome. Some studies have shown superior functional results and higher rates of healing following operative treatment. The goal of management of unstable fractures is stable fixation which lets early mobilization of the patient. The advantages and disadvantages of the intramedullary nailing and reconstruction plate have been established well in several studies in the past. In this context we used the pre contoured anatomical locking plate for the management of unstable clavicle fractures and evaluated the outcome of the fixation with anatomical locking plate. Materials and Methods: Study between JUNE 2018 and OCTOBER 2019 in Department of Orthopaedics Rajah Muthiah Medical College, Annamalai University. 25 patients with closed unstable clavicular fractures were treated by Open reduction and internal fixation with anatomical locking plate. Results had been assessed by means of Constant Murley shoulder outcome score. Results:The study period was three hundred and sixty five days. All clavicle fractures except one healed well with good functional outcome. The mean time for union was 12.76 weeks. One non union due to deep infection was encountered for a diabetic patient and was managed with implant removal, wound wash and antibiotics. 2 patients had screw pullout due to very early return to work before union. No implant failure and no other complications encountered in other cases. Conclusion:In our study Anatomical locking plates for unstable clavicular fractures gives excellent outcome with a high rate of union, minor soft tissue injury, early return to the day to day activities.

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The first 100 patients treated with a new anatomical pre-contoured locking plate for clavicular midshaft fractures

Cited by 15 publications

References 24 publications

The comparison of Nice knots and traditional methods as an auxiliary reduction-fixation technique in pre-contoured locking plate fixation for comminuted Robinson type 2B clavicle fracture: a retrospective study

The comparison of Nice knots and traditional methods as an auxiliary reduction-fixation technique in pre-contoured locking plate fixation for comminuted Robinson type 2B clavicle fracture: a retrospective study

The comparison of Nice knots and traditional methods as an auxiliary reduction-fixation technique in pre-contoured locking plate fixation for comminuted Robinson type 2B clavicle fracture

Functional outcome of unstable clavicle fractures fixed with anatomical locking plate

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