scholarly journals Protection of Supraclavicular Nerve in the Surgical Procedures of Clavicle Fracture Fixation

2021 ◽  
Author(s):  
Abulaiti Abula ◽  
Yanshi Liu ◽  
Kai Liu ◽  
Feiyu Cai ◽  
Alimujiang Abulaiti ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Locking Plate ◽  
Plate Fixation ◽  
Clavicle Fracture ◽  
Clinical Effectiveness ◽  
Sensory Function ◽  
Fracture Reduction ◽  
Locking Plate Fixation ◽  
Satisfaction Rate ◽  
Clavicle Fractures

Abstract Background: The present study was to evaluate the clinical effectiveness of the protection of the supraclavicular nerve in the treatment of clavicle fracture using fracture reduction and percutaneous external locking plate fixation or open reduction and internal fixation (ORIF).Methods: A total of 27 patients suffered clavicle fracture and underwent fracture reduction and external or internal fixation with reserved clavicular epithelial nerve in our department from January 2015 to January 2020 were retrospectively collected, including 19 males and 8 females with a mean age of 42 years (range 21 to 57 years). Among them, 17 patients were treated with the fracture reduction and percutaneous external locking plate fixation, while the other 10 patients were treated with ORIF. The sensory function of the affected shoulder area and the superior lateral thoracic area after surgery was collected and analyzed, as well as the satisfaction rate after the fixation was removed.Results: All the 27 patients were successfully followed with a mean duration of 1.3 years (1 to 5.8 years). There were significant differences in sensory dysfunction in the shoulder area and superior lateral thoracic area, pricking in the operation area and neck and shoulder, tactile hyperalgesia, and local numbness between the two groups after surgery (P<0.05). All the fractures achieved bone union. The satisfaction rate in the percutaneous external locking plate fixation group was higher than that in the ORIF group after the fixation was removed (P<0.05).Conclusions: Percutaneous external locking plate fixation with reservation of the supraclavicular nerve in the treatment of clavicle fractures can reduce the incidence of postoperative paresthesia in the affected shoulder and superior lateral thoracic area, and improve the satisfaction rate of the surgical effect.

scholarly journals 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

2020 ◽  
Author(s):  
Shengkun Hong ◽  
Wei Wang ◽  
Jinku Guo ◽  
Feixiong He ◽  
Cong Wang
Keyword(s):  
Locking Plate ◽  
Plate Fixation ◽  
Clavicle Fracture ◽  
Operation Time ◽  
Locking Plate Fixation ◽  
Traditional Methods ◽  
Traditional Group ◽  
Lag Screw ◽  
Clavicle Fractures

Abstract 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.

Precontoured Locking Plate Fixation for Displaced Lateral Clavicle Fractures

Orthopedics ◽  
2013 ◽  
Vol 36 (6) ◽  
pp. 801-807 ◽  
Author(s):  
Sang Ki Lee ◽  
Jae Won Lee ◽  
Dae Geon Song ◽  
Won Sik Choy
Keyword(s):  
Locking Plate ◽  
Plate Fixation ◽  
Locking Plate Fixation ◽  
Lateral Clavicle ◽  
Clavicle Fractures

scholarly journals 653 DRAFFT Dodging? Fixation Methods for Distal Radial Fractures Since 2014 In A UK Trauma Unit

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Gilbert ◽  
H Akehurst ◽  
J Mutimer
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
Locking Plate ◽  
Plate Fixation ◽  
Distal Radius Fractures ◽  
Fixation Method ◽  
Radius Fractures ◽  
Locking Plate Fixation ◽  
Fixation Methods ◽  
K Wires

Abstract Introduction The 2014 randomised, controlled Distal Radius Acute Fracture Fixation Trial (DRAFFT) compared K-wires to internal fixation for management of dorsally displaced distal radius fractures. The authors found no clinical difference between the two fixation methods, concluding ‘The results of this trial will reverse the trend towards locking-plate fixation for this injury’. Our study aimed to measure local change in practice since 2014. Method From the DRAFFT CONSORT diagram, we calculated just 10.7% of eligible cases required locking plate fixation. 300 patients, 50 per year from 2014-19 meeting DRAFFT eligibility criteria undergoing fixation, were randomly selected from an electronic trauma database. Radiographs were reviewed to see whether patients received internal fixation or K-wires. Results Age and sex distributions of the study sample were not significantly different to the DRAFFT population (p &lt; 0.05). Over 60% of recruited patients received internal fixation each year. No increasing trend in use of K-wires was detected (p = 0.27). No trend was observed in either fixation method adjusting for intra versus extra-articular fractures (p = 0.36). Conclusions Local practice remains unchanged in fixation of dorsally displaced distal radius fractures since 2014. Internal fixation remains the most prevalent surgery, and there has been no detectable increase in use of K-wires.

Sign in / Sign up

Export Citation Format

Share Document