Single versus dual orthogonal plating for comminuted midshaft clavicle fractures: a biomechanics study

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Superior versus anteroinferior plating of clavicle fractures.

Plate fixation of displaced clavicle fractures has proven to be reliable and reproducible, leading to high union rates and a low rate of associated complications. However, the decision of whether to place the plate superiorly or anteroinferiorly on the clavicle has remained controversial. The authors performed a retrospective review on a consecutive series of patients who underwent plate fixati...

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Midshaft clavicle fractures in adults.

Clavicle fractures remain one of the more common fractures encountered in the orthopaedic office. Nonoperative management remains the standard of care in most cases. However, studies have shown a higher nonunion rate and decreased patient satisfaction in fractures with increased shortening. The malunion resulting from nonoperative management has been shown to be problematic in patients with sig...

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Midshaft clavicle fractures treatment: threaded Kirschner wire versus conservative approach

Clavicle fractures are common, accounting for 2.6 to 10% of all fractures. Treatment of these fractures is usually non-surgical. Recent evidence, however, reveals that the final result of non-surgically midshaft clavicular fractures, particularly those with quite large displacements or shortening, is not like that which was previously thought. This study evaluated retrospectively all patients p...

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Unicortical versus bicortical locked plate fixation in midshaft clavicle fractures.

Higher rates of poor outcomes in displaced midshaft clavicle fractures treated nonoperatively have recently been reported. Along with expanding indications for operative fixation and increasing application of locked plate constructs, it is unknown whether complications related to bicortical penetration of the clavicle can be avoided using unicortical fixation. The purpose of this study is to co...

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Operative versus nonoperative treatment of midshaft clavicle fractures in adolescents.

BACKGROUND Midshaft clavicle fractures in adolescents have traditionally been treated nonoperatively. Recent studies in the adult literature have shown a higher prevalence of symptomatic malunion, nonunion, and poor functional outcome after nonoperative treatment of displaced fractures. The purpose of this study was to compare operative versus nonoperative treatment of displaced clavicle fractu...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery and Research

سال: 2020

ISSN: 1749-799X

DOI: 10.1186/s13018-020-01771-x