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International Orthopaedics
Published in: International Orthopaedics 10/2012

Open Access 01-10-2012 | Original Paper

Complications after plate fixation and elastic stable intramedullary nailing of dislocated midshaft clavicle fractures: a retrospective comparison

Authors: Frans-Jasper Wijdicks, Marijn Houwert, Marcel Dijkgraaf, Diederik de Lange, Koen Oosterhuis, Geertjan Clevers, Egbert-Jan Verleisdonk

Published in: International Orthopaedics | Issue 10/2012

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Abstract

Purpose

The incidence of operative treatment of dislocated midshaft clavicle fractures (DMCF) is rising due to unsatisfactory results after non-operative treatment. Knowledge of complications is important for selection of the surgical technique and preoperative patient counselling. The aim of this study is to compare complications after plate fixation and elastic stable intramedullary nailing (ESIN) with a titanium elastic nail (TEN) for DMCF.

Methods

A retrospective analysis of our surgical database was performed. From January 2005 to January 2010, 90 patients with DMCF were treated with plate fixation or ESIN. Complications were evaluated in both treatment groups and subsequently compared.

Results

Seven implant failures occurred in six patients (14 %) of the plate group and one implant failure (2.1 %) was seen in the ESIN group (p = 0.051). Major revision surgery was performed in five cases in the plate group (11.6 %) and in one case (2.1 %) in the ESIN group (p = 0.100). Three refractures (7.0 %) were observed in the plate group after removal of the implant against none in the ESIN group (p = 0.105). Six minor revisions (13 %) were reported in the ESIN group and none were reported in the plate group (p = 0.027).

Conclusions

Compared to other studies we report higher rates of refracture (7.0 %), major revision surgery (11.6 %) and implant failure (14.0 %) after plate fixation. The frequency of implant failures differed almost significantly for patients treated with plate fixation compared to ESIN. Furthermore, a tendency towards refracture after implant removal and major revision surgery after plate fixation was observed.
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Metadata
Title
Complications after plate fixation and elastic stable intramedullary nailing of dislocated midshaft clavicle fractures: a retrospective comparison
Authors
Frans-Jasper Wijdicks
Marijn Houwert
Marcel Dijkgraaf
Diederik de Lange
Koen Oosterhuis
Geertjan Clevers
Egbert-Jan Verleisdonk
Publication date
01-10-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 10/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-012-1615-5

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