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Clavicle non union

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https://www.readbyqxmd.com/read/30034818/midshaft-clavicle-fractures-current-concepts
#1
Paul Hoogervorst, Peter van Schie, Michel Pj van den Bekerom
Clavicle fractures are common fractures and the optimal treatment strategy remains debatable. The present paper reviews the available literature and current concepts in the management of displaced and/or shortened midshaft clavicle fractures.Operative treatment leads to improved short-term functional outcomes, increased patient satisfaction, an earlier return to sports and lower rates of non-union compared with conservative treatment. In terms of cost-effectiveness, operative treatment also seems to be advantageous...
June 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29727767/bioabsorbable-plating-in-the-treatment-of-pediatric-clavicle-fractures-a-biomechanical-and-clinical-analysis
#2
Emily J Osborn, Christine L Farnsworth, Joshua D Doan, Eric W Edmonds
BACKGROUND: Classic implants for operative intervention of mid-shaft clavicle fractures in adolescents can become symptomatic, requiring removal. This study compares 1) biomechanical properties and 2) clinical outcomes in adolescents of mid-shaft clavicle fracture fixation with bioabsorbable versus metal implants. METHODS: Six synthetic clavicles with mid-shaft fractures underwent bioabsorbable plating. A testing frame applied 10 non-destructive torsion and 10 axial compression cycles, followed by cantilever bending to failure...
June 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29704955/comparison-of-plate-osteosynthesis-versus-non-operative-management-for-mid-shaft-clavicle-fractures-a-prospective-study
#3
Akshay Bhardwaj, Gaurav Sharma, Ashok Patil, Vaijnath Rahate
INTRODUCTION: Treatment for mid-shaft clavicle fractures has recently seen a paradigm shift towards surgical management. The aim of the study was to compare clinical and functional outcome between plate osteosynthesis and conservative line of management in middle-third clavicle fractures. MATERIAL AND METHODS: A prospective randomized study was conducted on 69 patients with closed displaced clavicle fractures between May 2014 and May 2016. Patients with medial or lateral third clavicle fractures, polytrauma and compound fractures were excluded from the study...
June 2018: Injury
https://www.readbyqxmd.com/read/29669773/double-trouble-an-unusual-presentation-of-cervical-cord-herniation-and-medial-end-clavicle-non-union-in-a-single-patient
#4
Amit Kharat, Sagar Maheshwari, Priyam Choudhury, Ashutosh Mohapatra
Non-union of medial end clavicle is rare. Though traditionally they have been treated with conservative methods, surgery at initial presentation should be considered in these patients since conservative treatment can lead to non-union. Herniation of spinal cord, though rare, is seen in the thoracic region but can also occur in the cervical region post-traumatically as seen in our patient.
April 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29651831/does-age-affect-outcome-in-children-with-clavicle-fracture-treated-conservatively-quickdash-and-mrc-evaluation-of-131-consecutive-cases
#5
Vito Pavone, Claudia DE Cristo, Gianluca Testa, Federico Canavese, Ludovico Lucenti, Giuseppe Sessa
BACKGROUND: Non-operative treatment with immobilization is the gold-standard for paediatric clavicular fractures. Purpose of this study is to evaluate functional outcomes and efficacy of non-operative treatment of clavicular fractures in a succession of 131 children. METHODS: Between 2006 and 2012, we treated non-surgically 131 children for a clavicular fracture. All fractures have been classified according to Robinson classification. Clavicle shortening, range of movements and muscular strength through the Medical Research Council (MRC) scale were evaluated...
April 12, 2018: Minerva Pediatrica
https://www.readbyqxmd.com/read/29628708/management-of-displaced-midshaft-clavicle-fractures-in-adolescent-patients-using-intramedullary-flexible-nails-a-case-series
#6
Emmanuel D Eisenstein, Jennifer J Misenhimer, Ahmed Kotb, Ahmed M Thabet, Amr A Abdelgawad
Introduction: Clavicle fractures are common injuries in adolescent patients. In this study we present our technique and results for treating non-comminuted displaced midshaft clavicle fractures using flexible intra medullary nails. Methods: A retrospective review of prospectively collected data using the electronic medical record was performed. Adolescent patients presenting to a level one pediatric trauma center with acute displaced non comminuted clavicular shaft fractures who were treated with intra medullary flexible nails were included in this study...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29569025/-simultaneous-fracture-of-the-acromion-and-coracoid-process-rare-variant-of-double-disruption-of-the-superior-shoulder-suspensory-complex
#7
Thomas Westphal, Roland Lippisch, Julian Jürgens, Stefan Piatek
INTRODUCTION: Simultaneous fracture of the acromion and coracoid process represents a double disruption of the superior shoulder suspensory complex (SSSC). To date, the two largest reported series have comprised five and eight cases. The aim of this study was to investigate the functional outcome in patients who sustained this rare injury and to provide a review of the relevant literature. MATERIAL AND METHODS: In this retrospective study, patients who were surgically treated between 2009 and 2014 were identified from medical records and the patients were asked to attend a follow-up examination...
March 22, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29536190/complications-associated-with-plate-fixation-of-acute-midshaft-clavicle-fractures-versus-non-unions
#8
Seif Sawalha, Inigo Guisasola
An important consideration when counselling patients with midshaft clavicle fractures is whether operative treatment of non-union, if it develops after non-operative treatment, is associated with higher complication rate than acute fracture fixation. The aim of this study is to compare complications and re-operations after open reduction and plate fixation for acute midshaft clavicle fractures versus non-unions. The study was retrospective. There were 90 patients in the acute fixation group and 20 patients in the non-union group...
August 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29532152/non-prosthetic-peri-implant-fractures-classification-management-and-outcomes
#9
Lester W M Chan, Antony W Gardner, Merng Koon Wong, Kenon Chua, Ernest B K Kwek
INTRODUCTION: Non-prosthetic peri-implant fractures (NPPIFs) are an under-reported entity. Management is challenging because of alterations in anatomy, the presence of orthopaedic implants and phenomena such as stress shielding, disuse osteopenia and fracture remodeling. The aims of this paper were to review patterns of injury, management and outcomes and to propose a classification system to aid further research. MATERIALS AND METHODS: This study is a multi-centered retrospective case series...
June 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29369223/intramedullary-fixation-versus-plate-fixation-for-displaced-mid-shaft-clavicle-fractures-a-systematic-review-of-overlapping-meta-analyses
#10
REVIEW
Lin Xie, Zhigang Zhao, Shujun Zhang, Yabin Hu
BACKGROUND: Displaced mid-shaft clavicle fractures (DMCFs) are common injuries. Both intramedullary fixation (IMF) and plate fixation (PF) have been described and routinely used. Multiple trials have been conducted to compare these treatments. Multiple meta-analyses have been published to compare IMF and PF treatment for DMCFs; however, the results remain controversial. The purposes of this study were to perform a systematic review of overlapping meta-analyses comparing IMF and PF treatment for DMCFs, to help decision makers critically evaluate the current meta-analyses, and to propose a guide through the best available evidence...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29354171/the-challenge-of-nonunion-after-osteosynthesis-of-the-clavicle-is-it-a-biomechanical-or-infection-problem
#11
Giuseppe Rollo, Paolo Pichierri, Antonio Marsilio, Marco Filipponi, Michele Bisaccia, Luigi Meccariello
Introduction: The nonunion rate has been reported between 0.1% and 15%. There are also several predisposing factors for the onset of complications: general factors connected with the patient and specific factors related to the fracture site. The purpose of our study is to review the etiology of nonunion of the clavicle in its atrophic form and investigate the outcomes of the revision treatment in a single step. Materials and methods: Retrospective study on 71 patients suffering from nonunions due to the following treatments: conservative in 13 patients; plate fixation in 12; closed reduction and fixation with K-wire in 24; open reduction and fixation with K-wire...
September 2017: Clinical Cases in Mineral and Bone Metabolism
https://www.readbyqxmd.com/read/29326767/internal-fixation-of-only-the-distal-end-in-a-bipolar-segmental-clavicle-fracture-a-case-report
#12
T Ogawa, T Sasaki, M K Masayuki-Kawashima, A Okawa, M K Mahito-Kawashima
Bipolar segmental clavicle fractures are simultaneous clavicle fractures of both proximal and distal ends. Few case reports describing these fractures have been published, and the management of these injuries have remained controversial. Non-operative treatment is likely to result in poor shoulder function due to the instability of the fracture in patients with high physical demands. In contrast, surgical treatment with fixation of both proximal and distal ends of the clavicle possibly may cause life-threatening complications...
November 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29299494/functional-results-of-unstable-type-2-distal-clavicle-fractures-treated-with-superior-anterior-locking-plate
#13
Rajesh Govindasamy, Saravanan Kasirajan, Tushar Doke
Background: The treatment of distal clavicle fracture is always a challenge, as it is mostly unstable and has higher rate of delayed union, malunion, non-union and associated acromioclavicular arthritis. So the management of these fractures remains controversial. The purpose of this study is to evaluate the functional results of Type 2 distal end clavicle fractures treated with superior anterior locking plate. Methods: From June 2011 to August 2015 a retrospective study of12 male patients (mean age of 41...
November 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29122118/safe-intramedullary-fixation-of-displaced-midshaft-clavicle-fractures-with-2-5mm-kirschner-wires-technique-description-and-a-two-part-versus-multifragmentary-fracture-fixation-outcome-comparison
#14
Bore Bakota, Gareth Chan, Mario Staresinic, Vishal Rajput, Joideep Phadnis, Zelimir Korac
INTRODUCTION: The aim of this study was to present a modified Murray and Schwarz 2.5-mm Kirschner wire (K-wire) intramedullary (IM) technique for fixation of displaced midshaft clavicle fractures (DMCF), and to compare the differences in treatment outcome of two-part (Robinson 2B.1) and multifragmentary (Robinson 2B.2) DMCF. METHODS: A retrospective analysis of 91 patients who underwent IM fixation with a 2.5-mm K-wire for DMCF and had a 1-year post-operative follow-up between 2000 and 2012 was performed...
November 2017: Injury
https://www.readbyqxmd.com/read/29122117/plate-versus-intramedullary-fixation-of-two-part-and-multifragmentary-displaced-midshaft-clavicle-fractures-a-long-term-analysis
#15
Gareth Chan, Zelimir Korac, Matija Miletic, Dinko Vidovic, Joideep Phadnis, Bore Bakota
INTRODUCTION: Surgical fixation of displaced midshaft clavicle fractures is predominantly achieved with intramedullary (IM) or plate fixation. Both techniques have potential pitfalls: plate fixation involves greater periosteal stripping and protuberance of the implant, whereas IM fixation may be associated with implant-related complications, such as migration or skin irritation, which may lead to further surgery for implant removal. The aim of this study was to compare these two methods in simple (Robinson 2b...
November 2017: Injury
https://www.readbyqxmd.com/read/29067535/prebending-of-osteosynthesis-plate-using-3d-printed-models-to-treat-symptomatic-os-acromiale-and-acromial-fracture
#16
Hanne Beliën, Hanne Biesmans, Anny Steenwerckx, Eric Bijnens, Carl Dierickx
BACKGROUND: A symptomatic os acromiale can lead to impingement syndrome and rotator cuff tendinopathy. An acromion fracture is often part of a more complex scapular trauma that needs stabilisation. METHODS: We developed a new technique using a three-dimensional (3D) model and a distal clavicle reconstruction plate to treat os acromiale and acromion fractures. Our hypothesis was that such an approach would be a useful addition to the existing techniques. First, a 3D model of the acromion was printed, then an osteosynthesis plate was pre-bent to fit the exact shape and curve of the acromion...
October 24, 2017: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/29025615/treatment-of-an-atrophic-clavicle-non-union-with-the-chamber-induction-technique-a-case-report
#17
Giorgio Maria Calori, Emilio Luigi Mazza, Alessandra Colombo, Simone Mazzola, Massimiliano Colombo
The gold standard technique for treating non-union of the clavicle is based on corticocancellous bone graft harvested from the iliac crest and fixation with a plate. In cases of large clavicular defects, this surgical procedure becomes ineffective and only a complex bone reconstruction can be considered. In the herein study we report on a clavicular non-union which was associated with a 4cm bone defect that was managed successfully with optimum fixation and the Chamber Induction Technique (C.I.T)-formation of the masquelet membrane- and subsequent biological augmentation with a composite bone graft...
October 2017: Injury
https://www.readbyqxmd.com/read/28999921/case-of-non-union-in-a-fractured-clavicle
#18
D M Davidson
No abstract text is available yet for this article.
October 1892: Indian Medical Gazette
https://www.readbyqxmd.com/read/28965120/comparative-results-of-external-fixation-plating-or-nonoperative-management-for-diaphyseal-clavicle-fractures
#19
Barış Özkul, Mehmet Selçuk Saygılı, Yaşar Mahsut Dinçel, Ilhan Avni Bayhan, Deniz Akbulut, Bilal Demir
OBJECTIVE: The aim of this study was to compare the treatment outcomes of mid-diaphyseal clavicular fractures between an external fixator and more widely selected treatment options such as plate osteosynthesis or conservative methods. MATERIALS AND METHODS: The medical records of 64 patients who were treated for mid-diaphyseal clavicular fracture in our clinic from 2009 to 2013 were reviewed. The inclusion criterion was mid-diaphyseal closed clavicular fractures with shortening of more than 2 cm...
2017: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/28958210/clavicle-fracture-management-a-comparison-of-a-tertiary-hospital-and-rural-telehealth-sites
#20
Megan McKerrow, John North
The clavicle is one of the most commonly fractured bones in the adult population. Management has traditionally been conservative, however more recent research has yielded higher non-union rates associated with non-operative management. This study aims to analyse the proportion of operative and non-operative treatment methods for clavicle fracture in a tertiary hospital facility and rural health sites accessed via telehealth, comparing patient outcome between these two methods of fracture management. Following ethical approval, a retrospective review was conducted of patients presenting with clavicle fractures to the Princess Alexandra Hospital Fracture Clinics and to Orthopaedic Fracture Clinics run via teleconference with rural health sites...
January 1, 2017: Journal of Telemedicine and Telecare
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