Lateral approach for intramedullary nailing of displaced midshaft clavicle fractures; a retrospective cohort study.
Purpose: Midshaft clavicle fractures represent about 4% of all fractures in the emergency department. Non-operative treatment of displaced midshaft clavicle fractures (DMCF) can result in a relatively high non-union rate. Several operative techniques, including intramedullary fixation (IMF) using el...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 48; no. 2; pp. 1263 - 1271 |
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| Autores principales: | , , , , , |
| Formato: | algorithm diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156244329&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156244329 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Apr2022 vid: 48 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 156244329 149040805 156244329 156244329 10.1007/s00068-021-01620-4 156244329 ppf: 1263 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Lateral approach for intramedullary nailing of displaced midshaft clavicle fractures; a retrospective cohort study. aug: au: Kabelitz, Nina Kabelitz, Method Frima, Herman Rehm, Alexandra Sommer, Christoph Michelitsch, Christian affil: Department of Trauma Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland sug: subj: Clavicle Fractures Therapy Fracture Fixation Methods Orthopedic Fixation Devices Human Retrospective Design Prospective Studies Activities of Daily Living After Care Adolescence Pain Measurement Adolescent: 13-18 years ab: Purpose: Midshaft clavicle fractures represent about 4% of all fractures in the emergency department. Non-operative treatment of displaced midshaft clavicle fractures (DMCF) can result in a relatively high non-union rate. Several operative techniques, including intramedullary fixation (IMF) using elastic stable intramedullary nailing (ESIN), have therefore been established. IMF through the medial approach is less suitable for fractures of the lateral diaphysis. IMF of DMCF of the lateral diaphysis through a lateral approach can be an alternative approach for these fractures. The aim of this study is to describe the technique of IMF from the lateral side and to present the functional outcome and complications. Methods: A retrospective cohort study was performed. All patients with a traumatic DMCF treated with IMF using ESIN through a lateral approach between 2014 and 2019 were included. Endpoints were the functional outcome (QuickDASH, Subjective Shoulder Value (SSV)), pain (numeric rating scale (NRS)), daily impairment (activities of daily living (ADL)), complications and implant removal. Results: Forty out of 43 patients were available for follow-up. Mean follow-up was 37 months. Mean age was 24 years (range 13–70). The median QuickDASH score was 0 (IQR 0.0–0.0) and the median SSV was 100 (95–100). The median ADL score was 1 (1–4) and the median NRS was 0 (0–0). No non-union occurred. Implant related irritation occurred in 11 patients (27.5%). Implants were removed in a total of 38 (95%) patients; in 10 cases due to irritation, in 28 cases routinely or on patient's request. Conclusion: IMF of DMCF of the lateral diaphysis through a lateral approach leads to excellent functional results and seems to be a suitable option for internal fixation. However, as with IMF from the medial side, it is not without complications and implant-related irritation. pubtype: Academic Journal doctype: algorithm diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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