External fixators in the treatment of midshaft clavicle non-unions: a systematic review
| Autor: | Timothy Barlow, Piyush K. Upadhyay, David E. Barlow |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
External Fixators business.industry medicine.medical_treatment MEDLINE Evidence-based medicine Clavicle law.invention Surgery External fixation Fracture Fixation Internal medicine.anatomical_structure Treatment Outcome Randomized controlled trial law Fractures Ununited Fracture fixation Medicine Internal fixation Humans Orthopedics and Sports Medicine business Reduction (orthopedic surgery) |
| Zdroj: | European journal of orthopaedic surgerytraumatology : orthopedie traumatologie. 24(2) |
| ISSN: | 1432-1068 |
| Popis: | Non- or mal-union of the clavicle is reported to occur in up to 15 % of conservatively treated fractures: the purpose of this systematic review is to examine the evidence for the use of external fixation in the treatment of clavicular non-union. We performed a search of MEDLINE and Embase, including all papers using external fixators for the treatment of clavicular non-union. Four papers satisfied our eligibility criteria: three case series and one case–control study. Level of evidence and quality assessment scoring were performed using published methods. Due to the heterogeneity of the study populations and interventions, no attempt at meta-analysis was made. External fixation in hypertrophic non-union of the clavicle, but not atrophic non-union, appears to be a reasonable treatment option. A pragmatic, multicentre, randomised controlled trial comparing external fixation and open reduction internal fixation in the treatment of hypertrophic non-union of the clavicle would be valuable. |
| Databáze: | OpenAIRE |
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