Journals / Acta Orthopaedica et Traumatologica Turcica / 2014 / Cilt: 48 - Sayı: 4

Treatment of comminuted mid-diaphyseal clavicle fractures by plate fixation using a bridging technique

Pages
401–405
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

The mean Constant score was 89.6 (range: 72 to 100) points.Conclusion: The surgical treatment of mid-diaphyseal fractures with the bridging plate technique using locking plates provides good patient comfort, allows early mobility and has a low complication rate.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to determine the healing and functional results of the treatment of comminuted mid-diaphyseal clavicular fractures using a bridging plate technique with minimal surgical dissection.Methods: This retrospective study included 23 patients (17 males and 6 females) with comminuted mid-diaphyseal clavicular fractures treated between 2004 and 2010.
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Key Findings & Data:All fractures were operated on using a bridging plate technique with minimal surgical dissection.
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Conclusion & Impact:The mean Constant score was 89.6 (range: 72 to 100) points.Conclusion: The surgical treatment of mid-diaphyseal fractures with the bridging plate technique using locking plates provides good patient comfort, allows early mobility and has a low complication rate.
🔬Design:Research Article
📍Scope:2004 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to determine the healing and functional results of the treatment of comminuted mid-diaphyseal clavicular fractures using a bridging plate technique with minimal surgical dissection.Methods: This retrospective study included 23 patients (17 males and 6 females) with comminuted mid-diaphyseal clavicular fractures treated between 2004 and 2010. All fractures were operated on using a bridging plate technique with minimal surgical dissection. Patients were evaluated for function using the Constant shoulder scoring system.Results: Mean follow-up was 22 (range: 6 to 68) months and healing occurred in all patients after a mean of 13 (range: 8 to 20) weeks. No implant failures or superficial or deep infections were observed. Iatrogenic neurovascular damage was not observed in any patient. Two patients had clavicle length discrepancy in comparison with the healthy side. Range of motion was normal in all patients. The mean Constant score was 89.6 (range: 72 to 100) points.Conclusion: The surgical treatment of mid-diaphyseal fractures with the bridging plate technique using locking plates provides good patient comfort, allows early mobility and has a low complication rate.

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Cite This Article

SÖKÜCÜ, S., MENGEŞ, Ö., ÇETİNKAYA, E., PARMAKSIZOĞLU, A., KABUKÇUOĞLU, Y. (2014). Treatment of comminuted mid-diaphyseal clavicle fractures by plate fixation using a bridging technique. Acta Orthopaedica et Traumatologica Turcica, Cilt: 48 - Sayı: 4, 401–405. https://ajindex.com/articles/353590

References (10)

  1. Smekal V, Oberladstaetter J, Struve P, Krappinger D. Shaft fractures of the clavicle: current concepts. Arch Or- thop Trauma Surg 2009;129:807-15.
  2. Nordqvist A, Petersson C. The incidence of fractures of the clavicle. Clin Orthop Relat Res 1994;300:127-32.
  3. Bravo CJ, Wright CA. Displaced, comminuted diaphyseal clavicle fracture. J Hand Surg Am 2009; 34:1883-5.
  4. Schiffer G, Faymonville C, Skouras E, Andermahr J, Jubel A. Midclavicular Fracture: not just a trivial injury: cur- rent treatment options. Dtsch Arztebl Int 2010;107:711- 7. Postacchini F, Gumina S, De Santis P, Albo F. Epide- miology of clavicle fractures. J Shoulder Elbow Surg 2002;11:452-6. Neer CS 2nd. Nonunion of the clavicle. J Am Med Assoc 1960;172:1006-11.
  5. Lenza M, Belloti JC, Andriolo RB, Gomes Dos Santos JB, Faloppa F. Conservative interventions for treating middle third clavicle fractures in adolescents and adults. Cochrane Database Syst Rev 2009;2:CD007121. Lazarides S, Zafiropoulos G. Conservative treatment of fractures at the middle third of the clavicle: the relevance of shortening and clinical outcome. J Shoulder Elbow Surg 2006;15:191-4.
  6. Drosdowech DS, Manwell SE, Ferreira LM, Goel DP, Faber KJ, Johnson JA. Biomechanical analysis of fixation of middle third fractures of the clavicle. J Orthop Trauma 2011;25:39-43. Rowe CR. An atlas of anatomy and treatment of midcla- vicular fractures. Clin Orthop Relat Res 1968;58:29-42.
  7. Hill JM, McGuire MH, Crosby LA. Closed treatment of displaced middle-third fractures of the clavicle gives poor results. J Bone Joint Surg Br 1997;79:537-9.
  8. Zlowodzki M, Zelle BA, Cole PA, Jeray K, McKee MD; Evidence-Based Orthopaedic Trauma Working Group. Treatment of acute midshaft clavicle fractures: system- atic review of 2144 fractures: on behalf of the Evidence- Based Orthopaedic Trauma Working Group. J Orthop Trauma 2005;19:504-7.
  9. Nowak J, Holgersson M, Larsson S. Sequelae from cla- vicular fractures are common. A prospective study of 222 patients. Acta Orthop 2005;76:496-502. Canadian Orthopaedic Trauma Society. Nonopera- tive treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. J Bone Joint Surg Am 2007;89:1-10. Mirzatolooei F. Comparison between operative and non- operative treatment methods in the management of com- minuted fractures of the clavicle. Acta Orthop Traumatol Turc 2011;45:34-40.
  10. Kulshrestha V, Roy T, Audige L. Operative versus non- operative management of displaced midshaf