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Analysis of Contoured Anatomic Plate Fixation versus Intramedullary Rod Fixation for Acute Midshaft Clavicle Fractures
Joint Authors
Kwak-Lee, Juliann
Ahlmann, Elke R.
Wang, Lingjun
Itamura, John M.
Source
Advances in Orthopedic Surgery
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-01
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Kwak-Lee, Juliann& Ahlmann, Elke R.& Wang, Lingjun& Itamura, John M.. 2014. Analysis of Contoured Anatomic Plate Fixation versus Intramedullary Rod Fixation for Acute Midshaft Clavicle Fractures. Advances in Orthopedic Surgery،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-478068
Modern Language Association (MLA)
Kwak-Lee, Juliann…[et al.]. Analysis of Contoured Anatomic Plate Fixation versus Intramedullary Rod Fixation for Acute Midshaft Clavicle Fractures. Advances in Orthopedic Surgery No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-478068
American Medical Association (AMA)
Kwak-Lee, Juliann& Ahlmann, Elke R.& Wang, Lingjun& Itamura, John M.. Analysis of Contoured Anatomic Plate Fixation versus Intramedullary Rod Fixation for Acute Midshaft Clavicle Fractures. Advances in Orthopedic Surgery. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-478068
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478068