Closed vs open nailing for displaced middle third fracture of clavicle. Does it matter?

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Closed treatment of displaced middle-third fractures of the clavicle gives poor results.

We evaluated 242 consecutive fractures of the clavicle in adults which had been treated conservatively. Of these, 66 (27%) were originally in the middle third of the clavicle and had been completely displaced. We reviewed 52 of these patients at a mean of 38 months after injury. Eight of the 52 fractures (15%) had developed nonunion, and 16 patients (31%) reported unsatisfactory results. Thirte...

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Operative fixation of displaced middle third clavicle (Edinburg Type 2) fracture with superior reconstruction plate osteosynthesis.

BACKGROUND Conservative management of middle third clavicle fracture has been recently reported with suboptimal outcomes. Despite higher nonunion rates in initial open reduction and internal fixation, understanding the problem better and taking in accounts of previous shortcomings, such fractures can be optimally treated by open reduction and internal fixation with reconstruction plate. OBJEC...

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Assessment of the treatment outcome of closed extra-articular distal tibia fracture: IM nailing vs plating

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Treatment of Displaced Mid-Clavicle Fractures by Closed Titanium Elastic Nail

Introduction: Recently, intramedullary nailing for displaced middle third fractures of clavicle has received wide attention. Though open nailing has been widely described, closed nailing finds less mention. This paper therefore aims to study the outcome of closed titanium elastic nailing for displaced mid-clavicular fractures. Material and Methods: This was a prospective study of 34 patients wi...

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Who should be treated surgically for a displaced clavicle fracture?

Treatment of displaced midshaft clavicle fractures remains controversial despite several randomized trials and a recent meta-analysis (McKee et al. 2012, Lenza et al. 2013, Rehn et al. 2014, Wang et al. 2015). In the current issue of Acta Orthopaedica, Ban et al. present results of a survey among Scandinavian orthopedic surgeons on attitudes to treatment of displaced clavicle fractures. The res...

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ژورنال

عنوان ژورنال: Journal of Clinical Orthopaedics and Trauma

سال: 2016

ISSN: 0976-5662

DOI: 10.1016/j.jcot.2016.08.005