Midshaft Clavicular Fractures - Osteosynthesis with Minimally Invasive Technique
DOI:
https://doi.org/10.3889/oamjms.2016.136Keywords:
minimally invasive plate osteosynthesis (MIPO), Midshaft Clavicle Fractures, Superior anterior Clavicle PlateAbstract
BACKGROUND: Fractures of the clavicle are one of the most common fractures in modern orthopaedics and traumatology practice. Knowing the mechanism of trauma, and it's pathophysiological elements, it's clear distinction and it's individual features are essential to the development of more new and effective methods for their treatment, and the minimising of postoperative complications.
AIM: The aim of this paper was to present the results of our patients treated with minimally invasive plate osteosynthesis (MIPO).
MATERIAL AND METHODS: Between January 2011 and March 2013, 12 patients were treated with MIPO technique. The mean age was 47.5 years (range, 16-79 years). Outcomes and complications of clinical treatment were reviewed.
RESULTS: All fractures healed within a mean period of 4.9 months (range, 2-10 months). Regarding complications, there was no occurrence of implant failure or deep infection. There were no nonunions, but one 79-year-old man had a delayed union. Almost of all the cases didn’t need bending of the plate. Seven plates were removed by their hopes. And there weren’t any cases that required new incisions.
CONCLUSIONS: A pre-contoured plate anatomically configured to fit the clavicle was easier to apply. MIPO technique for midshaft clavicle fractures may be a good option.Downloads
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References
Steele DG, Bramblett CA. The anatomy and biology of the human skeleton. Texas A&M University Press, 1988.
Knudsen FW, Andersen M, Krag C. The arterial supply of the clavicle. Surgical and Radiologic Anatomy. 1989;11(3):211-4. https://doi.org/10.1007/BF02337824 PMid:2588097 DOI: https://doi.org/10.1007/BF02337824
Zenni EJ, Krieg JK, Rosen MJ. Open reduction and internal fixation of clavicular fractures. J Bone Joint Surg Am. 1981;63(1):147-51. https://doi.org/10.2106/00004623-198163010-00019 PMid:7451517 DOI: https://doi.org/10.2106/00004623-198163010-00019
Sohn HS, Shin SJ, Kim BY. Minimally invasive plate osteosynthesis using anterior–inferior plating of clavicular midshaft fractures. Archives of orthopaedic and trauma surgery. 2012;132(2):239-44. https://doi.org/10.1007/s00402-011-1410-6 PMid:22006573 DOI: https://doi.org/10.1007/s00402-011-1410-6
Jubel A. Minimally Invasive Operative Treatment of Displaced Midclavicular Fractures with a Titanium Elastic Nail. Minimally Invasive Orthopaedic Trauma. 2013:65.
Sohn HS, Kim BY, Shin SJ. A surgical technique for minimally invasive plate osteosynthesis of clavicular midshaft fractures. Journal of orthopaedic trauma. 2013;27(4):e92-6. https://doi.org/10.1097/BOT.0b013e31826579c7 PMid:22773015 DOI: https://doi.org/10.1097/BOT.0b013e31826579c7
McKee MD, Pedersen EM, Jones C, Stephen DJ, Kreder HJ, Schemitsch EH, Wild LM, Potter J. Deficits following nonoperative treatment of displaced midshaft clavicular fractures. J Bone Joint Surg Am. 2006;88(1):35-40. https://doi.org/10.2106/00004623-200601000-00005 DOI: https://doi.org/10.2106/00004623-200601000-00005
Robinson CM, McQueen MM, Wakefield AE. Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg Am. 2004;86(7):1359-65. https://doi.org/10.2106/00004623-200407000-00002 PMid:15252081 DOI: https://doi.org/10.2106/00004623-200407000-00002
Neviaser RJ, Neviaser JS, Neviaser TJ, Neviaser JS. A Simple Technique for Internal of the Clavicle: A Long Term Evaluation. Clinical orthopaedics and related research. 1975;109:103-7. https://doi.org/10.1097/00003086-197506000-00013 DOI: https://doi.org/10.1097/00003086-197506000-00013
Shin SJ, Sohn HS, Do NH. Minimally invasive plate osteosynthesis of humeral shaft fractures: a technique to aid fracture reduction and minimize complications. Journal of orthopaedic trauma. 2012;26(10):585-9. https://doi.org/10.1097/BOT.0b013e318254895f PMid:22534690 DOI: https://doi.org/10.1097/BOT.0b013e318254895f
Schliemann B, Roßlenbroich SB, Schneider KN, Petersen W, Raschke MJ, Weimann A. Surgical treatment of vertically unstable lateral clavicle fractures (Neer 2b) with locked plate fixation and coracoclavicular ligament reconstruction. Archives of orthopaedic and trauma surgery. 2013;133(7):935-9. https://doi.org/10.1007/s00402-013-1737-2 PMid:23589063 DOI: https://doi.org/10.1007/s00402-013-1737-2
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