Results of Anterior-Inferior 2.7-mm Dynamic Compression Plate Fixation of Midshaft Clavicular Fractures

Autor: Martin Hoffmann, James R. Ringler, Debra L. Sietsema, Clifford B. Jones, Terrence J. Endres
Rok vydání: 2013
Předmět:
Zdroj: Journal of Orthopaedic Trauma. 27:126-129
ISSN: 0890-5339
Popis: OBJECTIVES To evaluate the outcome of operatively treated unstable displaced diaphyseal clavicle fractures with anterior-inferior 2.7-mm dynamic compression plate (DCP) fixation. DESIGN Retrospective review of clavicle fractures. SETTING Level-1 trauma teaching center. PATIENTS/PARTICIPANTS One hundred twenty-nine clavicle fractures. INTERVENTION An anterior-inferior approach to clavicle fractures was used with the application of a 2.7-mm DCPs. MAIN OUTCOME MEASUREMENT Radiographic assessment of healing and complication rates. RESULTS One hundred twenty-five fractures healed (97%). Postoperative complications included 1 superficial wound problem, 3 deep wound problems, 5 nonunions, and 4 prominent implants requiring removal in 3. CONCLUSIONS Anterior-inferior placement of 2.7-mm DCPs seems safe and is associated with minimal complications. LEVEL OF EVIDENCE Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Databáze: OpenAIRE