No difference in mid-term outcome after superior vs. anteroinferior plate position for displaced midshaft clavicle fractures
Abstract To compare outcomes, complications, revisions, and rates of implant removal of superior compared to anteroinferior plating in displaced midshaft clavicle fractures at mid-term follow-up. We retrospectively reviewed 79 patients who underwent operative treatment for displaced midshaft clavicl...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2021-11-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-01625-4 |
| _version_ | 1819041463061708800 |
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| author | Philip-Christian Nolte Anna-Katharina Tross Julia Studniorz Paul-Alfred Grützner Thorsten Guehring Marc Schnetzke |
| author_facet | Philip-Christian Nolte Anna-Katharina Tross Julia Studniorz Paul-Alfred Grützner Thorsten Guehring Marc Schnetzke |
| author_sort | Philip-Christian Nolte |
| collection | DOAJ |
| description | Abstract To compare outcomes, complications, revisions, and rates of implant removal of superior compared to anteroinferior plating in displaced midshaft clavicle fractures at mid-term follow-up. We retrospectively reviewed 79 patients who underwent operative treatment for displaced midshaft clavicle fractures (Group A: 28 patients with superior plating; Group B: 51 patients with anteroinferior plating) that were at least 2 years postoperatively. Adjusted Constant Score (aCS), Visual Analog Scale (VAS), and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score were compared. Bone union, implant removal, complications and revision surgeries were assessed. Group A had a significantly higher aCS compared to group B (90, IQR: 85.0–91.0 vs. 91, IQR: 90.0–93.0; P = 0.037). No significant differences between groups were seen in VAS (P = 0.283) and QuickDASH (P = 0.384). Bone union was achieved in 76 patients (96.2%) with no significant differences between groups (Group A: 96.4% vs. Group B: 96.1%; P > 0.999). There were no significant differences in implant removal rates (Group A: 60.7% vs. Group B: 66.7%; P = 0.630), complications (Group A: 46.4% vs. Group B: 31.4%; P = 0.226) and revisions (Group A: 25% vs. Group B: 9.8%; P = 0.102). Superior and anteroinferior plating result in high bone union rates and good clinical outcomes with similar rates of plate removal. |
| first_indexed | 2024-12-21T09:25:23Z |
| format | Article |
| id | doaj.art-5cd68ca2d4ff431a8ed2a64a4e4c1efa |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-21T09:25:23Z |
| publishDate | 2021-11-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-5cd68ca2d4ff431a8ed2a64a4e4c1efa2022-12-21T19:08:55ZengNature PortfolioScientific Reports2045-23222021-11-011111810.1038/s41598-021-01625-4No difference in mid-term outcome after superior vs. anteroinferior plate position for displaced midshaft clavicle fracturesPhilip-Christian Nolte0Anna-Katharina Tross1Julia Studniorz2Paul-Alfred Grützner3Thorsten Guehring4Marc Schnetzke5Clinic for Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen at the University of HeidelbergClinic for Orthopaedic Surgery, Heidelberg University HospitalClinic for Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen at the University of HeidelbergClinic for Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen at the University of HeidelbergDepartment of Shoulder and Elbow Surgery, Sportsmedicine & Traumatology, Diakonie Clinic PaulinenhilfeClinic for Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen at the University of HeidelbergAbstract To compare outcomes, complications, revisions, and rates of implant removal of superior compared to anteroinferior plating in displaced midshaft clavicle fractures at mid-term follow-up. We retrospectively reviewed 79 patients who underwent operative treatment for displaced midshaft clavicle fractures (Group A: 28 patients with superior plating; Group B: 51 patients with anteroinferior plating) that were at least 2 years postoperatively. Adjusted Constant Score (aCS), Visual Analog Scale (VAS), and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score were compared. Bone union, implant removal, complications and revision surgeries were assessed. Group A had a significantly higher aCS compared to group B (90, IQR: 85.0–91.0 vs. 91, IQR: 90.0–93.0; P = 0.037). No significant differences between groups were seen in VAS (P = 0.283) and QuickDASH (P = 0.384). Bone union was achieved in 76 patients (96.2%) with no significant differences between groups (Group A: 96.4% vs. Group B: 96.1%; P > 0.999). There were no significant differences in implant removal rates (Group A: 60.7% vs. Group B: 66.7%; P = 0.630), complications (Group A: 46.4% vs. Group B: 31.4%; P = 0.226) and revisions (Group A: 25% vs. Group B: 9.8%; P = 0.102). Superior and anteroinferior plating result in high bone union rates and good clinical outcomes with similar rates of plate removal.https://doi.org/10.1038/s41598-021-01625-4 |
| spellingShingle | Philip-Christian Nolte Anna-Katharina Tross Julia Studniorz Paul-Alfred Grützner Thorsten Guehring Marc Schnetzke No difference in mid-term outcome after superior vs. anteroinferior plate position for displaced midshaft clavicle fractures Scientific Reports |
| title | No difference in mid-term outcome after superior vs. anteroinferior plate position for displaced midshaft clavicle fractures |
| title_full | No difference in mid-term outcome after superior vs. anteroinferior plate position for displaced midshaft clavicle fractures |
| title_fullStr | No difference in mid-term outcome after superior vs. anteroinferior plate position for displaced midshaft clavicle fractures |
| title_full_unstemmed | No difference in mid-term outcome after superior vs. anteroinferior plate position for displaced midshaft clavicle fractures |
| title_short | No difference in mid-term outcome after superior vs. anteroinferior plate position for displaced midshaft clavicle fractures |
| title_sort | no difference in mid term outcome after superior vs anteroinferior plate position for displaced midshaft clavicle fractures |
| url | https://doi.org/10.1038/s41598-021-01625-4 |
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