Superior Versus Anteroinferior Plating of Clavicle Fractures

被引:43
|
作者
Formaini, Nathan [1 ]
Taylor, Benjamin C. [1 ]
Backes, Jeffrey [2 ]
Bramwell, Thomas J. [1 ]
机构
[1] Grant Med Ctr, Dept Orthopaed Surg, Columbus, OH 43215 USA
[2] Mt Carmel Med Ctr, Dept Orthopaed Surg, Columbus, OH USA
关键词
MIDSHAFT CLAVICLE; FIXATION;
D O I
10.3928/01477447-20130624-20
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Plate fixation of displaced clavicle fractures has proven to be reliable and reproducible, leading to high union rates and a low rate of associated complications. However, the decision of whether to place the plate superiorly or anteroinferiorly on the clavicle has remained controversial. The authors performed a retrospective review on a consecutive series of patients who underwent plate fixation for a displaced midshaft clavicle fracture at a Level I urban trauma center. A review of surgical records identified 138 patients with a displaced midshaft clavicle fracture requiring operative stabilization. A total of 105 patients who met the inclusion criteria were included in the analysis. Both superior and anteroinferior techniques resulted in a similar time to radiographic union (12.6 +/- 4.8 vs 11.3 +/- 5.2 weeks, respectively) and identical union rates (95%). At final follow-up, patient-reported implant prominence was nearly double in patients with a retained superior plate (54% vs 29%, respectively; P=.04). No significant difference existed in mean visual analog scale score at a mean of 2.77 years postoperatively, although a significant difference existed in the Oxford Shoulder Score questionnaire, with a mean score of 41.4 in the superior group and 44.4 in the anteroinferior group (P=.008). Implant removal occurred more frequently after superior plating but was not significant. Both superior and anteroinferior clavicle plating are safe treatment methods for displaced clavicle fractures. Superior plating leads to an increased rate of patient-reported implant prominence and may prompt more requests for implant removal.
引用
收藏
页码:E898 / E904
页数:7
相关论文
共 50 条
  • [11] Midshaft clavicle fractures: is anterior plating an acceptable alternative to superior plating?
    Mullis, Brian J.
    Jeray, Kyle
    Broderick, Scott L.
    Tanner, Stephanie G.
    Snider, Becky
    Everhart, Joshua
    EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY, 2023, 33 (08): : 3373 - 3377
  • [12] Pneumothorax After Superior Plating of Clavicle Fractures: Are the Concerns Warranted?
    Ganta, Abhishek
    Solasz, Sara
    Fisher, Nina
    Leucht, Philipp
    Konda, Sanjit
    Egol, Kenneth
    JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2024, 32 (11) : 503 - 507
  • [13] SUPERIOR VERSUS ANTERO-INFERIOR PLATING OF CLAVICLE FRACTURES- A RETROSPECTIVE STUDY AT OUR INSTITUTION
    Mitra, Subhasis Ranjan
    Roy, Rajiv
    JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS, 2019, 8 (09): : 626 - 629
  • [14] Superior versus anterior plating of midshaft clavicle fracture in adults
    Al-Edanni, Mohammed Sh
    Majeed, Ghadeer H.
    Haitham, Mohammed
    Al-Muktar, Sadik A.
    RAWAL MEDICAL JOURNAL, 2019, 44 (02): : 334 - 337
  • [15] Precontoured Superior Locked Plating of Distal Clavicle Fractures: A New Strategy
    Andersen, Jaron R.
    Willis, Matt P.
    Nelson, Ryan
    Mighell, Mark A.
    CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2011, 469 (12) : 3344 - 3350
  • [16] Anteroinferior 2.7-mm versus 3.5-mm plating of the clavicle: A biomechanical study
    Pulos, Nicholas
    Yoon, Richard S.
    Shetye, Snehal
    Hast, Michael W.
    Liporace, Frank
    Donegan, Derek J.
    INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2016, 47 (08): : 1642 - 1646
  • [17] Anterior inferior plating versus superior plating for clavicle fracture: a meta-analysis
    Jie Ai
    Shun-Li Kan
    Hai-Liang Li
    Hong Xu
    Yang Liu
    Guang-Zhi Ning
    Shi-Qing Feng
    BMC Musculoskeletal Disorders, 18
  • [18] Anterior inferior plating versus superior plating for clavicle fracture: a meta-analysis
    Ai, Jie
    Kan, Shun-Li
    Li, Hai-Liang
    Xu, Hong
    Liu, Yang
    Ning, Guang-Zhi
    Feng, Shi-Qing
    BMC MUSCULOSKELETAL DISORDERS, 2017, 18
  • [19] Analysis of Neurovascular Safety Between Superior and Anterior Plating Techniques of Clavicle Fractures
    Hussey, Michael M.
    Chen, Yumin
    Fajardo, Roberto A.
    Dutta, Anil K.
    JOURNAL OF ORTHOPAEDIC TRAUMA, 2013, 27 (11) : 627 - 632
  • [20] Operative Cost Comparison: Plating Versus Intramedullary Fixation for Clavicle Fractures
    Hanselman, Andrew E.
    Murphy, Timothy R.
    Bal, George K.
    McDonough, E. Barry
    ORTHOPEDICS, 2016, 39 (05) : E877 - E882