No difference in mid-term outcome after superior vs. anteroinferior plate position for displaced midshaft clavicle fractures

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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Autores principales: Philip-Christian Nolte, Anna-Katharina Tross, Julia Studniorz, Paul-Alfred Grützner, Thorsten Guehring, Marc Schnetzke
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/5cd68ca2d4ff431a8ed2a64a4e4c1efa
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spelling oai:doaj.org-article:5cd68ca2d4ff431a8ed2a64a4e4c1efa2021-11-14T12:21:40ZNo difference in mid-term outcome after superior vs. anteroinferior plate position for displaced midshaft clavicle fractures10.1038/s41598-021-01625-42045-2322https://doaj.org/article/5cd68ca2d4ff431a8ed2a64a4e4c1efa2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01625-4https://doaj.org/toc/2045-2322Abstract 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.Philip-Christian NolteAnna-Katharina TrossJulia StudniorzPaul-Alfred GrütznerThorsten GuehringMarc SchnetzkeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
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
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.
format article
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
title 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_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_sort no difference in mid-term outcome after superior vs. anteroinferior plate position for displaced midshaft clavicle fractures
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/5cd68ca2d4ff431a8ed2a64a4e4c1efa
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