The comparison of Nice knots and traditional methods as an auxiliary reduction-fixation technique in pre-contoured locking plate fixation for comminuted Robinson type 2B clavicle fracture
| Autor: | Hong, Shengkun, Wang, Wei, Guo, Jinku, He, Feixiong, Wang, Cong |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
refracture Bone Screws Operative Time wire Observational Study healing time Fracture Fixation Internal Fractures Bone Humans health care economics and organizations Fractures Comminuted operation time Fracture Healing midshaft clavicle fracture Nice knot Sutures pre-contoured locking plate Suture Techniques Recovery of Function Middle Aged Clavicle Open Fracture Reduction Outcome and Process Assessment Health Care nonunion lag screw Female Bone Plates Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Open reduction and pre-contoured locking plate fixation is a popular treatment option for displaced midshaft clavicle fracture. Lag screw and cerclage are 2 main intraoperative techniques to reduce and fix fragments. However, both lag screw and metallic cerclage have disadvantages. The doubled-suture Nice knot has been reported in many areas of orthopedic surgery for its effectiveness. This study aims to compare the outcomes of comminuted mid-shaft clavicle fractures reduced by Nice knots vs traditional techniques (lag screw or/and metallic cerclage) when bridged with pre-contoured locking plates. We retrospectively reviewed 101 patients (65 females and 36 males) diagnosed with midshaft clavicle fractures with at least one wedge fragment reduced by either Nice knots or traditional methods and bridged with pre-contoured locking plates between December 2016 and April 2019. Operation time, functional outcomes, pain, patient satisfaction, fracture healing, and complications were assessed at a follow-up of 12 to 40 months. The mean age of all the patients was 50.8 years. There were 52 and 49 patients in the Nice knot group and traditional group respectively, and no differences between 2 groups were found in general patient characteristics, fracture type, follow up and injury-to-surgery duration. The Nice knot group had significant less operation time (P |
| Databáze: | OpenAIRE |
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