Cutaneous paresthesia after internal plate fixation of clavicle fractures and underlying anatomical observations

The recent trend has been toward surgical fixation of displaced clavicle fractures. Several fixation techniques have been reported yet it is unclear which is preferable. We retrospectively reviewed one hundred one consecutive patients with acute midshaft clavicle fractures treated operatively at a level-1 trauma center. Thirty-four patients underwent intramedullary pin fixation and 67 had anatomic plate fixation. The outcomes we assessed were operative time, complications, infection, implant failure, fracture union, range of motion, and reoperation rate. There were 92 males and 9 females with an average age of 30 years (range: 14–68 years). All patients were followed to healing with an average followup of 20 months (range: 15–32 months). While fracture union by six months (P=0.8729) and range of motion at three months (P=0.6139) were similar, the overall healing time for pin fixation was shorter (P=0.0380). The pin group had more infections (P=0.0335) and implant failures (P=0.0245) than the plate group. Intramedullary pin fixation may have improved early results, but there was no long term difference in overall rate of union and achievement of full shoulder motion. The higher rate of implant failure with pin fixation may indicate that not all fracture patterns are amenable to fixation using this device.

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Displaced Neer Type IIB distal-third clavicle fractures—Long-term clinical outcome after plate fixation and additional screw augmentation for coracoclavicular instability

BMC Musculoskeletal Disorders ◽

10.1186/s12891-017-1398-3 ◽

2017 ◽

Vol 18 (1) ◽

Cited By ~ 2

Author(s):

Thomas M. Tiefenboeck ◽

Sandra Boesmueller ◽

Harald Binder ◽

Adam Bukaty ◽

Michael M. Tiefenboeck ◽

...

Keyword(s):

Clinical Outcome ◽

Plate Fixation ◽

Screw Augmentation ◽

Clavicle Fractures ◽

Neer Type Iib

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Comparing the Effects of Two Tourniquet Times on Pain and Knee Range of Motion after Internal Plate Fixation of Tibia Fractures

Archives of Medicine ◽

10.21767/1989-5216.1000194 ◽

2017 ◽

Vol 09 (01) ◽

Author(s):

Maryam Khodabakhshi ◽

Gholamhossein Mahmoudirad ◽

Reza Bahador

Keyword(s):

Range Of Motion ◽

Plate Fixation ◽

Tibia Fractures ◽

Internal Plate Fixation

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Treatment of Distal Clavicle Fractures using a Scorpion Plate and Influence of Timing on Surgical Outcomes: A Retrospective Cohort Study of 105 Cases

10.21203/rs.2.16276/v1 ◽

2019 ◽

Author(s):

Ryogo Furuhata ◽

Masaaki Takahashi ◽

Teppei Hayashi ◽

Miyu Inagawa ◽

Aki Kono ◽

...

Keyword(s):

Treatment Group ◽

Postoperative Complications ◽

Surgical Outcomes ◽

Plate Fixation ◽

Delayed Union ◽

Distal Clavicle ◽

Delayed Treatment ◽

Clavicle Fractures ◽

The Difference ◽

Distal Clavicle Fractures

Abstract Background Plate fixation is the established method of treating unstable distal clavicle fractures. However, the appropriate timing of surgery for acute distal clavicle fractures remains unclear. The present study aimed to evaluate the clinical outcomes of osteosynthesis using a Scorpion plate and to assess the influence of surgery timing on the surgical outcomes for acute unstable distal clavicle fractures. Methods We retrospectively reviewed 105 patients who underwent fixation for acute unstable distal clavicle fractures (Neer type II and V) using the Scorpion plate between 2008 and 2018. Patients were divided into early (45 patients) and delayed (60 patients) treatment groups based on the timing of the surgical intervention (within or after seven days). The outcomes were postoperative complications (delayed union, peri-implant fracture, plate loosening, plate-related pain, and stiffness). We evaluated the outcomes from X-ray radiographs and clinical notes.Results Among the 105 patients, delayed union, plate loosening, plate-related pain, and stiffness were observed in six patients (5.7%), four patients (3.8%), seven patients (6.7%), and one (1.0%) patient, respectively. The delayed union rate was significantly higher in the delayed treatment group than that in the early treatment group (P=0.036). Although the difference was not significant, plate loosening and stiffness were only observed in the delayed treatment group. Conclusion Our results demonstrated that osteosynthesis using Scorpion plates achieved satisfactory surgical outcomes for unstable distal clavicle fractures . In addition, this study suggested that performing surgery within six days after injury is recommended to reduce postoperative complications .

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Single-center Experience in the Treatment of Extremely Medial Clavicle Fractures with Vertical Fixation of Double-plate

10.21203/rs.2.15445/v1 ◽

2019 ◽

Author(s):

He Liu ◽

Ziyan Zhang ◽

Baoming Yuan ◽

Guangkai Ren ◽

Junlong Yu ◽

...

Keyword(s):

Fracture Healing ◽

Plate Fixation ◽

Clavicle Fracture ◽

Shoulder Function ◽

Single Center Experience ◽

Clavicle Fractures ◽

Postoperative Fracture ◽

Medial Clavicle ◽

First Time ◽

Contralateral Shoulder

Abstract Background: Patients suffering from medial clavicle fractures combined with displacement need surgical intervention. This research reports the effect of double-plate fixation as an innovative procedure in the treatment of extremely medial clavicle fractures.Methods: Nine patients complaint of extremely medial clavicle fracture were enrolled in this research from Mar 2017 to March 2018. Patients were treated with an open reduction and internal fixation using the double-plate technique. Postoperative X-ray was taken regularly to observe the fracture healing at each visit, and the related complications were also recorded. The rating score systems of Constant Murley score of treated shoulder and contralateral shoulder, Rowe score as well as American Shoulder and Elbow Surgeons (ASES) were questionnaire to evaluate postoperative shoulder joint function.Results: All patients achieved postoperative fracture healing with no complications. Only one patient complained of slight restriction, two patients complained of pain during overhead work, and another patient occurred plate breakage. Meanwhile, the Constant Murley scores of treated and contralateral shoulder were 94.1 and 98.5 points, respectively, indicating the similar shoulder function. Furthermore, the Rowe and ASES scores of the involved shoulder were 96.7 and 96.3 points at average, respectively.Conclusions: It is the first time to introduce the surgical technique of vertical double-plate fixation for stable fixation of extremely medial clavicle fractures, which could provide the surgeons an alternative method for this type of fracture.

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