Single, Superiorly Placed Reconstruction Plate Compared with Flexible Intramedullary Nailing for Midshaft Clavicular Fractures

• DOI: 10.2106/jbjs.n.00497
• Publication Date: 2015-04-15T17:51:23Z
• Authors: Fernando Brandao ...; Kodi Edson Kojima; Alexander Joeris; Jorge Santos Silva; Rames Mattar
• Keywords: Adult; Male; Bone Nails; Middle Aged; Clavicle; Fracture Fixation, Intramedullary; 3. Good health; Radiography; Fracture Fixation, Internal; Fractures, Bone; 03 medical and health sciences; Postoperative Complications; Treatment Outcome; 0302 clinical medicine; Humans; Female; Prospective Studies; Bone Plates; Follow-Up Studies

Background: Previous studies have shown good clinical results in patients with midshaft clavicular fractures treated reconstruction plate fixation or elastic stable intramedullary nailing. The objective of this study was to compare these methods terms and radiographic results. Methods: In prospective, randomized controlled trial, fifty-nine displaced were randomly assigned receive either a (thirty-three patients), known as the group, nailing (twenty-six nail group. primary outcome six-month Disabilities Arm, Shoulder Hand (DASH) score. secondary outcomes included Constant-Murley score, time fracture union, residual shortening, level postoperative pain, percentage satisfied patients, complication rates. Results: mean DASH score 9.9 points group 8.5 (p = 0.329). Similarly, there no differences twelve-month scores. Time union equivalent 0.352) between groups at 16.8 weeks for 15.9 whereas shortening 0.4 cm greater 0.032). visual analog scale pain satisfaction rate similar groups. Implant-related more frequent 0.035). There major complications. Conclusions: Reconstruction plates yielded functional results, patient Both safe Level Evidence: Therapeutic I. See Instructions Authors complete description levels evidence.