To Operate or not to Operate the  Mid-Shaft Fractures of the Clavicle:  A Comparative Study of Functional  Outcomes of the Two Methods of  Management

Shetty, Sanath Kumar; Chandran, R. Reevenishaa Ravi; Ballal, Arjun; Mathias, Lawrence; Hegde, Anoop; Shetty, Asode Ananthram

doi:10.7860/jcdr/2017/22052.9143

Cited by 12 publications

(17 citation statements)

References 20 publications

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“…19 Studies of Ferran et al and Shetty et al similarly had union in all cases. 17,23 However many studies had non unions-Bostman et al (6.82%, 3 cases), 15 Thyagarajan et al (5.88%, 1 case), 22 Canadian Orthopedic Trauma Society (3.23%, 2 cases), 11 Shen et al (3%, 7 cases), 19 Woltz et al (2.7%, 3 cases), 20 Serrano et al (2.23%, 3 cases) 18 and meta analysis by Nourian et al (2%, 27 studies, 1104 patients). 21 Delayed union was seen in studies of Thyagarajan et al (2 cases, 11.76%) 22 and Bostman et al (3 cases, 6.82%).…”

Section: Discussionmentioning

confidence: 99%

Functional outcome of plating for displaced middle third clavicle fractures in adults

et al. 2018

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Introduction: Clavicle fractures are the common fractures around the shoulder. Conservative treatment is associated with higher incidence of nonunion. We conducted this study to assess the functional outcome of plating for displaced middle third clavicle fractures. Methods: This prospective study included 60 patients with displaced middle third clavicle fractures from April 2016 to March 2017. Fixation was done with a 3.5 mm reconstruction plate placed at the superior surface of the clavicle. Patients were followed-up for a minimum of one year. Functional outcome was assessed using Constant shoulder score. Results: There were 48 male and 12 female patients with a mean age of 33.17 years (range 18-74 years). The average follow-up period was 17.82 months. All fractures united at an average of 5.35 months. The mean Constant score at final follow-up was 89.12. There were two superficial infections and three implant failures. Conclusion: We conclude that treatment of displaced middle third clavicle fracture with plate gives good results.

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Section: Discussionmentioning

confidence: 99%

Functional outcome of plating for displaced middle third clavicle fractures in adults

et al. 2018

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“…Some fractures, such as clavicle shaft fractures [40,41], rib fractures [17], scapular fractures [42,43], and fibular shaft fractures, can be treated without operation due to the high success rate of the conservative treatment. In these cases, the reduction in discomfort with a good pain control strategy becomes the main goal of patient care during fracture healing.…”

Section: Discussionmentioning

confidence: 99%

Sustained Release of Levobupivacaine, Lidocaine, and Acemetacin from Electrosprayed Microparticles: In Vitro and In Vivo Studies

Chen

Liu

Yeh

et al. 2020

IJMS

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In this study, we explored the release characteristics of analgesics, namely levobupivacaine, lidocaine, and acemetacin, from electrosprayed poly(D,L-lactide-co-glycolide) (PLGA) microparticles. The drug-loaded particles were prepared using electrospraying techniques and evaluated for their morphology, drug release kinetics, and pain relief activity. The morphology of the produced microparticles elucidated by scanning electron microscopy revealed that the optimal parameters for electrospraying were 9 kV, 1 mL/h, and 10 cm for voltage, flow rate, and travel distance, respectively. Fourier-transform infrared spectrometry indicated that the analgesics had been successfully incorporated into the PLGA microparticles. The analgesic-loaded microparticles possessed low toxicity against human fibroblasts and were able to sustainably elute levobupivacaine, lidocaine, and acemetacin in vitro. Furthermore, electrosprayed microparticles were found to release high levels of lidocaine and acemetacin (well over the minimum therapeutic concentrations) and levobupivacaine at the fracture site of rats for more than 28 days and 12 days, respectively. Analgesic-loaded microparticles demonstrated their effectiveness and sustained performance for pain relief in fracture injuries.

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“…All 9 studies provided data on nonunion. In the study by Shetty et al, [15] nonunion did not occur in both groups, and therefore this study was not merged. Figure 4 showed the results of meta-analysis.…”

Section: Discussionmentioning

confidence: 99%

“…Instead of radiographic malunion, malunion refers to symptomatic malunion, which means union of the fracture in a shortened, angulated, or displaced position combined with weakness, pain, and other sequelae. Six studies [15,22,31–34] reported symptomatic malunion, 3 of which [22,32,34] only recorded the number of patients whose symptoms were serious enough to require corrective osteotomy. In the study by Virtanen et al, [33] 2 patients had a symptomatic malunion and both of them refused surgery because they just experienced mild disability.…”

Section: Discussionmentioning

confidence: 99%

Open reduction and plate fixation compared with non-surgical treatment for displaced midshaft clavicle fracture

et al. 2019

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To Operate or not to Operate the Mid-Shaft Fractures of the Clavicle: A Comparative Study of Functional Outcomes of the Two Methods of Management

Cited by 12 publications

References 20 publications

Functional outcome of plating for displaced middle third clavicle fractures in adults

Functional outcome of plating for displaced middle third clavicle fractures in adults

Sustained Release of Levobupivacaine, Lidocaine, and Acemetacin from Electrosprayed Microparticles: In Vitro and In Vivo Studies

Open reduction and plate fixation compared with non-surgical treatment for displaced midshaft clavicle fracture

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