Infection After Surgical Reconstruction of a Clavicle Fracture Using a Reconstruction Plate: A Report of Seven Cases
Mid-shaft clavicle fractures have traditionally been treated conservatively, although this has been associated with non-union and unsatisfactory shoulder function. The preferred approach is plate fixation, with a reconstruction plate for open reduction and internal fixation. Infection is a potential...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2008-01-01
|
| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X08700731 |
| _version_ | 1818055343529263104 |
|---|---|
| author | Ping-Cheng Liu Chih-Hsin Hsieh Jian-Chih Chen Cheng-Chang Lu Chin-Yi Chuo Song-Hsiung Chien |
| author_facet | Ping-Cheng Liu Chih-Hsin Hsieh Jian-Chih Chen Cheng-Chang Lu Chin-Yi Chuo Song-Hsiung Chien |
| author_sort | Ping-Cheng Liu |
| collection | DOAJ |
| description | Mid-shaft clavicle fractures have traditionally been treated conservatively, although this has been associated with non-union and unsatisfactory shoulder function. The preferred approach is plate fixation, with a reconstruction plate for open reduction and internal fixation. Infection is a potential complication after such surgery, with rates of 0.4-7.8% reported in the literature. In our cases, an infection rate of 4.9% (7 of 142 patients) was noted; five of the seven patients suffered from acute postoperative infection within 1 month of surgery. The average time to presentation with an infection was 28 (23-32) days, with signs and symptoms of wound dehiscence in one patient and sinus discharge in four patients. Two patients suffered from subacute infections, with durations of 72 and 103 days, presenting with local heat and radiographic findings of screw loosening. Six of the cases healed with primary bony union after intensive debridement and early removal of the implants. |
| first_indexed | 2024-12-10T12:11:26Z |
| format | Article |
| id | doaj.art-175d00cace3945f2a8ab8997f3c773bd |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-10T12:11:26Z |
| publishDate | 2008-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-175d00cace3945f2a8ab8997f3c773bd2022-12-22T01:49:20ZengWileyKaohsiung Journal of Medical Sciences1607-551X2008-01-01241454910.1016/S1607-551X(08)70073-1Infection After Surgical Reconstruction of a Clavicle Fracture Using a Reconstruction Plate: A Report of Seven CasesPing-Cheng Liu0Chih-Hsin Hsieh1Jian-Chih Chen2Cheng-Chang Lu3Chin-Yi Chuo4Song-Hsiung Chien5Department of Orthopedics, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Orthopedics, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Orthopedics, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Orthopedics, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanMid-shaft clavicle fractures have traditionally been treated conservatively, although this has been associated with non-union and unsatisfactory shoulder function. The preferred approach is plate fixation, with a reconstruction plate for open reduction and internal fixation. Infection is a potential complication after such surgery, with rates of 0.4-7.8% reported in the literature. In our cases, an infection rate of 4.9% (7 of 142 patients) was noted; five of the seven patients suffered from acute postoperative infection within 1 month of surgery. The average time to presentation with an infection was 28 (23-32) days, with signs and symptoms of wound dehiscence in one patient and sinus discharge in four patients. Two patients suffered from subacute infections, with durations of 72 and 103 days, presenting with local heat and radiographic findings of screw loosening. Six of the cases healed with primary bony union after intensive debridement and early removal of the implants.http://www.sciencedirect.com/science/article/pii/S1607551X08700731clavicle fractureinfectionreconstruction plate |
| spellingShingle | Ping-Cheng Liu Chih-Hsin Hsieh Jian-Chih Chen Cheng-Chang Lu Chin-Yi Chuo Song-Hsiung Chien Infection After Surgical Reconstruction of a Clavicle Fracture Using a Reconstruction Plate: A Report of Seven Cases Kaohsiung Journal of Medical Sciences clavicle fracture infection reconstruction plate |
| title | Infection After Surgical Reconstruction of a Clavicle Fracture Using a Reconstruction Plate: A Report of Seven Cases |
| title_full | Infection After Surgical Reconstruction of a Clavicle Fracture Using a Reconstruction Plate: A Report of Seven Cases |
| title_fullStr | Infection After Surgical Reconstruction of a Clavicle Fracture Using a Reconstruction Plate: A Report of Seven Cases |
| title_full_unstemmed | Infection After Surgical Reconstruction of a Clavicle Fracture Using a Reconstruction Plate: A Report of Seven Cases |
| title_short | Infection After Surgical Reconstruction of a Clavicle Fracture Using a Reconstruction Plate: A Report of Seven Cases |
| title_sort | infection after surgical reconstruction of a clavicle fracture using a reconstruction plate a report of seven cases |
| topic | clavicle fracture infection reconstruction plate |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X08700731 |
| work_keys_str_mv | AT pingchengliu infectionaftersurgicalreconstructionofaclaviclefractureusingareconstructionplateareportofsevencases AT chihhsinhsieh infectionaftersurgicalreconstructionofaclaviclefractureusingareconstructionplateareportofsevencases AT jianchihchen infectionaftersurgicalreconstructionofaclaviclefractureusingareconstructionplateareportofsevencases AT chengchanglu infectionaftersurgicalreconstructionofaclaviclefractureusingareconstructionplateareportofsevencases AT chinyichuo infectionaftersurgicalreconstructionofaclaviclefractureusingareconstructionplateareportofsevencases AT songhsiungchien infectionaftersurgicalreconstructionofaclaviclefractureusingareconstructionplateareportofsevencases |