Peri-implant distal clavicle fracture: Case report (overlaying plate fixation: Solution for peri-implant clavicle fractures).

Autor:	Vieira Lima G; Department of Shoulder and Elbow Surgery, Faculdade de Medicina do ABC, Santo André, Brazil; Medical Doctor-Shoulder and Elbow Surgeon, Brazil. Electronic address: guigavl@yahoo.com., Sousa Santos Filho N; Department of Shoulder and Elbow Surgery, Faculdade de Medicina do ABC, Santo André, Brazil; Shoulder and Elbow Surgeon Fellowship, Brazil., Pimentel Furlan CA; Department of Shoulder and Elbow Surgery, Faculdade de Medicina do ABC, Santo André, Brazil; Shoulder and Elbow Surgeon Fellowship, Brazil., Murachovsky J; Department of Shoulder and Elbow Surgery, Faculdade de Medicina do ABC, Santo André, Brazil; Medical Doctor-Shoulder and Elbow Surgeon, Brazil., La Banca V; Department of Shoulder and Elbow Surgery, Faculdade de Medicina do ABC, Santo André, Brazil; Medical Doctor-Shoulder and Elbow Surgeon, Brazil., Ikemoto RY; Department of Shoulder and Elbow Surgery, Faculdade de Medicina do ABC, Santo André, Brazil; Medical Doctor-Shoulder and Elbow Surgeon, Brazil.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2021 Oct; Vol. 87, pp. 106411. Date of Electronic Publication: 2021 Sep 15.
DOI:	10.1016/j.ijscr.2021.106411
Abstrakt:	Introduction and Importance: Surgical treatment for clavicle injuries is indicated for displaced and shortened fractures. Osteosyntheses with plate fixation may present with complications in 6.3% to 8.5% of patients. Peri-implant clavicle fractures (PIF) are rare, and we have not found any previous cases in our literature search. Case Presentation: A 25-year-old male with previously (six years earlier) surgically treated clavicle fracture presented with a peri-implant clavicle fracture requiring surgical treatment. The management involved overlaying an implant to fix the lateral clavicle fracture without removing the previous plate. Complete bone healing was observed without any further complication. Clinical Discussion: Despite the low rate of implant failure in clavicle fractures, this complication occurs mainly in elderly patients with poor bone quality. No PIF have been described in the literature prior to this. This case report demonstrates a young patient with good bone quality and previous fracture fixation presenting with PIF which has now shown complete bone healing. Conclusion: In this case, overlying an additional plate on the lateral clavicle portion without removing the previous plate increased the stability of the fracture. It demonstrates the value of overlaying plate osteosyntheses for patients with clavicle PIF. (Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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