scholarly journals A prospective comparative study of functional outcome in patients treated non-operatively and surgically (by plate osteosynthesis) for mid-shaft clavicle fractures in adults

2021 ◽  
Vol 7 (2) ◽  
pp. 616-625
Author(s):  
Dr. Janmejay Dalal ◽  
Dr. Baldev Dudani ◽  
Dr. Siddharth Jadhav ◽  
Dr. Nirav Shah ◽  
Dr. Rahul Pujara
Keyword(s):  
Comparative Study ◽  
Functional Outcome ◽  
Plate Osteosynthesis ◽  
Prospective Comparative Study ◽  
Clavicle Fractures

scholarly journals Comparison between Minimally Invasive Plate Osteosynthesis and Conventional Open Plating for Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Enzhe Zhao ◽  
Rui Zhang ◽  
Dou Wu ◽  
Yao Guo ◽  
Qiang Liu
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Cohort Studies ◽  
Functional Outcome ◽  
Plate Osteosynthesis ◽  
Meta Analysis ◽  
Operation Time ◽  
Cochrane Library ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Clavicle Fractures

Objective. The aim of this study was to compare the functional outcome and complications in midshaft clavicle fractures receiving minimally invasive plate osteosynthesis and conventional open plating. Methods. Relevant studies were searched in the databases of Medline, EMBASE, Cochrane Library, Ovid, and Web of Science from inception to March 1, 2019. Pooled data were analyzed with Cochrane Collaboration’s Review Manager 5.3. Results. A total of 7 studies were included, of which 2 were randomized controlled trials, 3 were retrospective cohort studies, and 2 were prospective cohort studies including 316 patients. No statistical differences in functional outcome (weighted mean difference [WMD] = 0.99, P=0.12), operation time (WMD = −10.44, P=0.07) and time to bone union (WMD = −0.23, P=0.70) were observed between the two groups. However, minimally invasive plate osteosynthesis reduced rates of skin numbness (odds ratio (OR) = 0.25, 95% CI : 0.13 to 0.48; P<0.0001) and complications (OR = 0.33, 95% CI : 0.16 to 0.71; P=0.005) compared with conventional open plating. Conclusion. This systematic review and meta-analysis found no differences in terms of functional outcomes, operation time, and fracture healing time between minimally invasive plate osteosynthesis and conventional open plating. However, minimally invasive plate osteosynthesis had apparent advantages in rates of skin numbness and complications.

scholarly journals COMPARATIVE STUDY EVALUATING OUTCOMES OF CONSERVATIVE VERSUS VOLAR LOCKING PLATE OSTEOSYNTHESIS FOR UNSTABLE DISTAL RADIUS FRACTURES

2020 ◽  
pp. 9-11
Author(s):  
Abhimanyu Kakralia ◽  
Zakir Hussain ◽  
Amit Jain ◽  
R.C. Meena
Keyword(s):  
Comparative Study ◽  
Distal Radius ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Functional Results ◽  
Distal Radius Fractures ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Conservative Group ◽  
Prospective Comparative Study

Background: The objective of the study was to compare the results of conservative management and volar locking plate by assessing the functional and radiological parameters using Stewart et al. system (1) and Sarmiento’s modification of Gartland and Werley scores (2) respectively in cases of unstable distal radius fractures. Materials & Methods: This was a prospective comparative study, which included 50 cases of distal radius fractures with 32 cases in the conservative group and 18 cases in the operative group. Radiographic and functional outcomes were assessed at 2 weeks, 3 months and 6 months using Stewart et al. system and Sarmiento’s modification of Gartland and Werley scores respectively. Results: In operative group, radiological results were well to excellent results in 100% of the patients while in conservative group, 30% had excellent results, 17% had good results and 53% had fair result. At 6 months after surgery, functional results in both groups were improved. In operative group, 100% had excellent results while in conservative group 48% had excellent, 44.44% had good, and 7% had fair results. Conclusion: This study shows that volar locking plates evidently has better results in terms of achieved faster and accelerated functional recovery.

scholarly journals Anatomical plating versus titanium elastic nailing for displaced midshaft clavicle fractures: a prospective comparative study

2021 ◽  
Vol 7 (2) ◽  
pp. 278
Author(s):  
Ashish Philip ◽  
Shishir Murugharaj Suranigi ◽  
Lingaraj . ◽  
Kanagasabai Rengasamy ◽  
Syed Najimudeen
Keyword(s):  
Functional Outcome ◽  
Plate Fixation ◽  
Minimal Invasive ◽  
Dash Score ◽  
Randomised Study ◽  
Titanium Elastic Nailing ◽  
Significant Difference ◽  
Prospective Comparative Study ◽  
Clavicle Fractures ◽  
The Mean

<p><strong>Background:</strong> Plate fixation has become the standard operative method for fixing displaced midshaft clavicle fractures. Over the years, TENS has also gained lot of attention due to its minimal invasive nature, smaller scar and reduced operative time. The purpose of this study was to compare the functional outcome of middle third displaced clavicle fractures treated either by plate or intra medullary TENS fixation using Constant Murley score and disability of the arm, shoulder and hand score.</p><p><strong>Methods: </strong>A prospective randomised study was conducted from January 2010 to September 2016 at our institute on patients with displaced midshaft clavicle fractures.<strong> </strong>A total of 56 patients (TENS; n=25, plating; n=31), classified according to orthopaedic trauma association classification underwent midshaft clavicle fixation. They were followed-up for a minimum period of 1 year.<strong></strong></p><p><strong>Results: </strong>Length of the scar in the TENS group was significantly smaller when compared to the incision in the plating group (1.86±1.23 and 11.01±3.29 cms respectively, p&lt;0.001). The Constant shoulder score measured at the end of 1 year was 90.77±9.01 for the TENS group and 92.63±6.04 for the plating group, not significant statistically (p=0.269). The mean DASH score was also not significantly different (p=0.552) between the TENS group and the plating group, at 6.01±11.09 and 6.32±10.33 respectively.<strong></strong></p><p><strong>Conclusions:</strong> In comparison with plate fixation, the nailing procedure is less invasive, requires smaller incisions and has a shorter duration of hospital stay with no statistically significant difference in terms of functional outcome. Hence, TENS technique is recommended for the fixation of displaced mid-shaft non-/minimal comminuted clavicular fractures, especially for young individuals and can be used as an alternative to plate fixation.</p><p class="abstract"> </p>

scholarly journals Anterior inferior plating versus superior plating for middle 1/3rd clavicle fracture: a prospective comparative study

2021 ◽  
Vol 8 (1) ◽  
pp. 48
Author(s):  
Girish H. Rudrappa ◽  
Deepak B. V. ◽  
Gowthama Pradhaban
Keyword(s):  
Surgical Technique ◽  
Comparative Study ◽  
Functional Outcome ◽  
Outcome Measure ◽  
Clavicle Fracture ◽  
Delayed Union ◽  
Demographic Analysis ◽  
Inclusion Criteria ◽  
Plating Technique ◽  
Prospective Comparative Study

<p class="abstract"><strong>Background: </strong>Fractures of the clavicle are common injuries that may result from direct blow or transmitted forces. Deformities are shortening and depression of lateral fragments. Various techniques are performed out of which superior and anteroinferior plating are widely used with each having its own merits and drawbacks. Our study compares the outcome between above mentioned techniques.</p><p class="abstract"><strong>Methods: </strong>We conducted a prospective comparative study of 60 patients who has met inclusion criteria and out of which 30 patients were treated with anteroinferior technique and 30 patients were treated with superior plating technique. Outcome measure were assessed through constant and murley score.</p><p class="abstract"><strong>Results: </strong>The demographic analysis of our study showed that the incidence of fracture is predominant among males (63.3%) with RTA being the most common mode of injury. AO/OTA classification which was used in our study revealed A1 as the most frequently involved group. Each group had 2 patients with infection post operatively which was managed with appropriate antibiotics. Increased incidence of delayed union was found in anterioinferior group (13.3%) with decreased hardware prominence in comparison with superior plating.</p><p class="abstract"><strong>Conclusions:</strong> There were no significant differences in functional outcome between both the groups except the fact that superior plating had higher chances of plate prominence. So either of the surgical technique can be employed depending upon the feasibility of surgeon.</p>

scholarly journals A prospective comparative study between interlocking nail and locking compression plate for management of diaphyseal fractures of the humerus

2020 ◽  
Vol 6 (5) ◽  
pp. 926
Author(s):  
Mallesh Rathod ◽  
Sandeep Kumar Kanugula ◽  
Pannuri Raja
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Functional Outcome ◽  
Reoperation Rate ◽  
Locking Compression Plate ◽  
Interlocking Nail ◽  
Operation Rate ◽  
Compression Plate ◽  
Prospective Comparative Study ◽  
Diaphyseal Fractures

<p class="abstract"><strong>Background:</strong> The aim of this study was to compare the outcomes between open reduction and internal fixation by locking compression plate (LCP) and closed reduction and internal fixation with anterograde interlocking nail (ILN) for the treatment of diaphyseal fractures of the humerus.</p><p class="abstract"><strong>Methods:</strong> This is a prospective comparative study, with diaphyseal fractures of the humerus treated by LCP in 30 patients and with ILN in 30 patients. Patients were followed up to 18 months. The clinical and radiographic outcomes were assessed in terms of union, complications, reoperation rate and functional outcome using the American shoulder and elbow surgeons’ score (ASES) and Stewart and Hundley’s criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> Union was achieved in 93.3% of patients in LCP group and 90% in ILN group. The mean blood loss in LCP group was 280±22.10 ml (160-400 ml) and in ILN group was 110±17.62 ml (70-150 ml) (p=0.001). The ASES score was 42.47±5.532 in LCP group and 40.93±6.330 in nailing group (p=0.320; p&gt;0.05). Stewart Hundley criteria showed excellent and good results in 26/30 and 17/30 patients in LCP group and ILN group respectively (p=0.070; p&gt;0.05). Complications and re-operation rate were higher in ILN group.</p><p class="abstract"><strong>Conclusions:</strong> Our study concludes that LCP can be considered a better surgical option for the management of diaphyseal fractures of the humerus as it had lower incidence of complications, less re-operation rate and better union rate. However, there is no difference between the two groups in terms of union time and functional outcome.</p>

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