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Orif clavicle

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https://www.readbyqxmd.com/read/28816894/the-clavicle-trial-a-multicenter-randomized-controlled-trial-comparing-operative-with-nonoperative-treatment-of-displaced-midshaft-clavicle-fractures
#1
Philip M Ahrens, Nicholas I Garlick, Julie Barber, Emily M Tims
BACKGROUND: The treatment of displaced midshaft clavicle fractures remains controversial. METHODS: We undertook a multicenter randomized controlled trial to compare effectiveness and safety between nonoperative management and ORIF (open reduction and internal fixation) for displaced midshaft clavicle fractures in adults. Three hundred and one eligible adult patients were randomized to 1 of the 2 treatment groups and followed at 6 weeks, 3 months, and 9 months after recruitment...
August 16, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28680896/the-influence-of-incision-type-on-patient-satisfaction-after-plate-fixation-of-clavicle-fractures
#2
Dave R Shukla, William J Rubenstein, Leslie A Barnes, Mark J Klion, James N Gladstone, Jaehon M Kim, Edmond Cleeman, David A Forsh, Bradford O Parsons
BACKGROUND: Open reduction and internal fixation (ORIF) of the clavicle is a common procedure that has been shown to have improved outcomes over nonoperative treatment. Several incisions can be used to approach clavicle fractures, the decision of which is variable among surgeons. PURPOSE: To compare patient satisfaction and subjective outcomes between patients with a longitudinal incision versus those with a necklace incision for the treatment of diaphyseal clavicle fractures...
June 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28548997/anterior-inferior-plating-results-in-fewer-secondary-interventions-compared-to-superior-plating-for-acute-displaced-mid-shaft-clavicle-fracture
#3
Rafael Serrano, Amrut Borade, Hassan Mir, Anjan Shah, David Watson, Anthony Infante, Mark A Frankle, Mark A Mighell, H Claude Sagi, Daniel S Horwitz, Roy W Sanders
OBJECTIVES: To determine if a difference in plate position for fixation of acute, displaced, mid-shaft clavicle fractures would affect the rate of secondary intervention. DESIGN: Retrospective Comparative Study SETTING:: two academic Level 1 Regional Trauma Centers PATIENTS:: 510 patients treated surgically for an acutely displaced mid-shaft clavicle fracture between 2000-2013 were identified and reviewed retrospectively at a minimum of 24 months' follow-up (F/U)...
April 5, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28114982/displaced-neer-type-iib-distal-third-clavicle-fractures-long-term-clinical-outcome-after-plate-fixation-and-additional-screw-augmentation-for-coracoclavicular-instability
#4
Thomas M Tiefenboeck, Sandra Boesmueller, Harald Binder, Adam Bukaty, Michael M Tiefenboeck, Julian Joestl, Marcus Hofbauer, Roman C Ostermann
BACKGROUND: Unstable Neer Type IIB fractures require meticulous surgical treatment. Thus, the aim of this study was to present long-term outcomes after plate fixation and minimally invasive coracoclavicular (CC) stabilization using screw fixation. METHODS: A consecutive series of patients with unstable Neer Type IIB displaced clavicle fractures, treated by open reduction and internal fixation (ORIF) with a plate and additional screw fixation for coracoclavicular ligament instability, was reviewed in order to determine long-term clinical and radiological outcome...
January 23, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28060814/glenohumeral-joint-kinematics-following-clavicular-fracture-and-repairs
#5
Claudio Rosso, Michael Nasr, Kempland C Walley, Ethan R Harlow, Babak Haghpanah, Ashkan Vaziri, Arun J Ramappa, Ara Nazarian, Joseph P DeAngelis
BACKGROUND: The purpose of this biomechanical study was to determine the effect of shortened clavicle malunion on the center of rotation of the glenohumeral (GH) joint, and the capacity of repair to restore baseline kinematics. METHODS: Six shoulders underwent automated abduction (ABD) and abbreviated throwing motion (ATM) using a 7-DoF automated upper extremity testing system in combination with an infrared motion capture system to measure the center of rotation of the GH joint...
2017: PloS One
https://www.readbyqxmd.com/read/28053380/plating-versus-conservative-treatment-in-mid-shaft-fractures-of-clavicle-a-comparative-study
#6
R K S Dhakad, Mahendra Panwar, Sameer Gupta
OBJECTIVES: Mid shaft clavicle fractures have traditionally been treated by conservative means with good outcome. ORIF with plating is an upcoming option to improve outcome further. Aim of this study is to compare the outcome of anterosuperior plating with conservative treatment. METHODS: The study was conducted over a period of one year, with 50 skeletally mature closed mid shaft fractures included. Alternate patients were operated using a 3.5 mm anterosuperior LCP...
October 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/27984442/symptomatic-implant-removal-following-dual-mini-fragment-plating-for-clavicular-shaft-fractures
#7
Cory M Czajka, Andrew Kay, Joshua L Gary, Mark L Prasarn, Andrew M Choo, John W Munz, William H Harvin, Timothy S Achor
OBJECTIVES: To determine the proportion of patients requiring secondary surgery for symptomatic implant removal after open reduction, internal fixation using dual mini-fragment plating technique for clavicular shaft fractures. DESIGN: Retrospective observational study. SETTING: Single university Level 1 trauma center. PATIENTS: Eighty-one patients treated with open reduction, internal fixation using dual mini-fragment plating technique for clavicular shaft fractures (OTA/AO 15-B1, B2, and B3) with minimum 12-month follow-up (median 477 days; range 371-1549 days)...
April 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27385937/outcomes-of-proximal-humerus-fracture-open-reduction-internal-fixation-with-concomitant-ipsilateral-shoulder-girdle-injuries-a-case-control-study
#8
Marschall B Berkes, Milton T M Little, Nadine C Pardee, Patrick C Schottel, Lionel E Lazaro, Dean G Lorich
BACKGROUND: Proximal humerus fractures treated in the face of ipsilateral injuries to the shoulder girdle may be predisposed to worse clinical outcomes. QUESTIONS/PURPOSES: The purpose of this investigation was to examine outcomes of proximal humerus fractures treated with open reduction internal fixation (ORIF) using an endosteal augment in the presence of a concomitant shoulder girdle injury in comparison to isolated proximal humerus fractures treated with ORIF and endosteal augment...
July 2016: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/26900143/frequency-and-complications-after-operative-fixation-of-clavicular-fractures
#9
Ronald A Navarro, Jonathan D Gelber, John J Harrast, John G Seiler, Kent R Jackson, Ivan A Garcia
BACKGROUND: The purpose of this study was to analyze whether a recent trend in evidence supporting operative treatment of clavicular fractures is matched with an increase in operative fixation and complication rates in the United States. METHODS: The American Board of Orthopaedic Surgery database was reviewed for cases with Current Procedural Terminology (American Medical Association, Chicago, IL, USA) code 23515 (clavicle open reduction internal fixation [ORIF]) from 1999 to 2010...
May 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/26700553/plate-fixation-of-midshaft-clavicular-fractures-patient-reported-outcomes-and-hardware-related-complications
#10
Micah Naimark, Faustine L Dufka, Richard Han, David C Sing, Paul Toogood, C Benjamin Ma, Alan L Zhang, Brian T Feeley
BACKGROUND: Recent studies report high hardware removal rates after plate fixation of midshaft clavicular fractures. Precontoured clavicle plates may decrease hardware-related complications while improving healing rates and patient-reported outcomes (PROs). METHODS: Using a private-payer national database, we identified 7826 patients who underwent clavicle open reduction and internal fixation (ORIF) in 2007 to 2011. Database patients were tracked for 2 years to assess hardware removal and revision fixation...
May 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/26604035/defining-reference-levels-for-intra-operative-radiation-exposure-in-orthopaedic-trauma-a-retrospective-multicentre-study
#11
MULTICENTER STUDY
J Hardman, M Elvey, N Shah, N Simson, S Patel, R Anakwe
There is currently limited data to define reference levels for the use of ionising radiation in orthopaedic trauma surgery. In this multicentre study, we utilise methodology employed by the Health Protection Agency in establishing reference levels for diagnostic investigations in order to define analogous levels for common and reproducible orthopaedic trauma procedures. Four hundred ninety-five procedures were identified across four Greater London hospitals over a 1-year period. Exposure was defined in terms of both time and dose area product (DAP)...
December 2015: Injury
https://www.readbyqxmd.com/read/26447424/is-skin-tenting-secondary-to-displaced-clavicle-fracture-more-than-a-theoretical-risk-a-report-of-2-adolescent-cases
#12
Peter N Chalmers, Geoff S Van Thiel, Scott T Ferry
While one traditional indication for open reduction and internal fixation (ORIF) of clavicle fractures was tenting of the skin because of concern for an impending open fracture, recent review materials indicate that this complication may only be theoretical. To the best of the authors' knowledge, this complication has never been reported for a midshaft clavicle fracture. We report 2 adolescent cases of displaced, comminuted clavicle fractures in which the skin was initially intact. Both were managed nonoperatively and both secondarily presented with open lesions at the fracture site requiring urgent irrigation and débridement and ORIF...
October 2015: American Journal of Orthopedics
https://www.readbyqxmd.com/read/26131565/prognostic-factors-for-reoperation-after-plate-fixation-of-the-midshaft-clavicle
#13
Laura A Schemitsch, Emil H Schemitsch, Paul Kuzyk, Michael D McKee
OBJECTIVES: To determine which prognostic factors were associated with an increased risk for all-cause reoperation in a heterogeneous population of patients treated with primary plate fixation of a midshaft clavicular fracture. DESIGN: Retrospective observational study. SETTING: Single university-affiliated tertiary care Level 1 trauma center. PATIENTS: Of 235 consecutive patients with primary plate fixation for a midshaft clavicular fracture...
December 2015: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/25536214/triple-and-quadruple-disruptions-of-the-superior-shoulder-suspensory-complex
#14
Brett Mulawka, Aaron R Jacobson, Lisa K Schroder, Peter A Cole
OBJECTIVES: The purpose of this study is to report on a series of patients who sustained triple and quadruple disruptions to the superior shoulder suspensory complex (SSSC), their associated injuries, and functional outcomes of open reduction and internal fixation. DESIGN: Prospective observational study. SETTING: Level 1 trauma center. PATIENTS/PARTICIPANTS: Patients who sustained more than 2 lesions to the SSSC that underwent surgery...
June 2015: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/25473604/open-reduction-internal-fixation-of-distal-clavicle-fracture-with-supplementary-button-coracoclavicular-fixation
#15
Andrew Hanflik, Bryan T Hanypsiak, Joshua Greenspoon, Darren J Friedman
Distal clavicle fractures are common, and no standard treatment exists. Many different surgical modalities exist. This report describes an open reduction internal fixation technique that achieves both plate and coracoclavicular stabilization using a button device. A precontoured superior-lateral plate is secured to the clavicle. A 3.2-mm spade-tipped drill bit is drilled across the clavicle and coracoid, passing through 4 cortices. The button is loaded onto an insertion device, passed across the 4 cortices, and captured on the undersurface of the coracoid under fluoroscopic guidance...
October 2014: Arthroscopy Techniques
https://www.readbyqxmd.com/read/24990977/rate-of-and-risk-factors-for-reoperations-after-open-reduction-and-internal-fixation-of-midshaft-clavicle-fractures-a-population-based-study-in-ontario-canada
#16
Timothy Leroux, David Wasserstein, Patrick Henry, Amir Khoshbin, Tim Dwyer, Darrell Ogilvie-Harris, Nizar Mahomed, Christian Veillette
BACKGROUND: Reoperation rates following open reduction and internal fixation (ORIF) of midshaft clavicle fractures have been described, but reported rates of nonunion, malunion, infection, and implant removal have varied. We sought to establish baseline rates of, and risk factors for, reoperations following clavicle ORIF in a large population cohort. METHODS: Administrative databases were used to identify patients sixteen to sixty years of age who had undergone an ORIF of a closed, midshaft clavicle fracture from April 2002 to April 2010...
July 2, 2014: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/24893919/reoperation-following-open-reduction-and-plate-fixation-of-displaced-mid-shaft-clavicle-fractures
#17
Bradley D Ashman, Gerard P Slobogean, Trevor B Stone, Darius G Viskontas, Farhad O Moola, Bertrand H Perey, Dory S Boyer, Robert G McCormack
BACKGROUND: Operative fixation of displaced, mid-shaft clavicle fractures has become an increasingly common practice. With this emerging trend, data describing patient outcomes with longer follow-up are necessary. PATIENTS AND METHODS: We retrospectively reviewed the medical records of subjects treated with plate fixation for displaced mid-shaft clavicle fractures from 2003 to 2009 at a Level I trauma hospital. All subjects were greater than 12 months post-index surgery...
October 2014: Injury
https://www.readbyqxmd.com/read/24662990/natural-history-of-anterior-chest-wall-numbness-after-plating-of-clavicle-fractures-educating-patients
#18
Thomas J Christensen, Daniel S Horwitz, Erik N Kubiak
OBJECTIVES: Improved patient outcomes after plating of displaced clavicle fractures have been demonstrated by recent clinical studies. Many of these patients, however, complain of anterior chest wall numbness after this procedure; we hypothesize that numbness likely persists long term for many patients, but without effect on shoulder function. DESIGN: Prospective observational cohort. SETTING: Level 1 trauma center. PATIENTS/PARTICIPANTS: Adult patients undergoing plating of a displaced middle third diaphyseal clavicle fracture...
November 2014: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/23982401/return-to-athletic-activity-after-plate-fixation-of-displaced-midshaft-clavicle-fractures
#19
Steven W Meisterling, E Lyle Cain, Glenn S Fleisig, Jeffrey L Hartzell, Jeffrey R Dugas
BACKGROUND: Recent data support primary plate fixation of displaced midshaft clavicle fractures. The safety and efficacy of this practice have not been well documented in athletes. HYPOTHESIS: Plate fixation of clavicle fractures in athletes is a safe and effective procedure, resulting in a reliable and timely return to play. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A total of 29 patients with displaced midshaft clavicle fractures from athletic activity were treated with plate fixation between January 1, 2003 and December 31, 2008, including 1 patient treated for each clavicle for separate injuries...
November 2013: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/23493822/locking-plates-for-displaced-fractures-of-the-lateral-end-of-clavicle-potential-pitfalls
#20
Soha Sajid, Ross Fawdington, Maneesh Sinha
Roughly a quarter of all clavicle fractures occur at the lateral end. Displaced fractures of the lateral clavicle have a higher rate of nonunion. The management of fractures of the lateral clavicle remains controversial. Open reduction internal fixation with a superiorly placed locking plate is a recently developed technique. However, there are no randomized controlled trials to evaluate the efficacy of this procedure. We present a series of four cases which highlight the technical drawbacks with this method of fixation for lateral clavicle fractures...
October 2012: International Journal of Shoulder Surgery
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