Objective: This analysis critically compares publications discussing complications and functional outcomes of plate fixation (PF) versus intramedullary fixation (IF) for midshaft clavicle fractures. Methods: Relevant studies published between January 1990 and October 2014, without language restrictions, were identified in database searches of PubMed®, Medline®, Embase and the Chinese. Conclusions: Operative fixation of a displaced fracture of the clavicular shaft results in improved functional outcome and a lower rate of malunion and nonunion compared with nonoperative treatment at one year of follow-up. Hardware removal remains the most common reason for repeat intervention in the operative group The LCP Clavicle Hook Plate, combined with AO technique, provides stable fracture fixation with minimal trauma to vas- cular supplies. This helps create an improved environment for bone healing, accelerating the patient's return to previous mobility and function. LCP Clavicle Hook Plate Surgical Technique DePuy Synthes To date, multiple forms of plating and intramedullary devices have been used to fix midshaft clavicle fractures, including precontoured dynamic compression plates (DCP), use of a reconstruction plate for PF and Knowles pinning, elastic stable intramedullary nailing with a Rockwood clavicle pin and an Acumed clavicle rod for IF9-12
Background: Displaced mid-shaft clavicle fractures (DMCFs) are common injuries. Both intramedullary fixation (IMF) and plate fixation (PF) have been described and routinely used. Multiple trials have been conducted to compare these treatments The Clavicle Plate and Screw System is a comprehensive set of plates, screws, and instruments designed to treat midshaft and distal clavicle fractures. The stainless steel plates are low profile and precontoured with locking and nonlocking screw options in each plate clavicle may be stabilized either with fixation placed superiorly or anteriorly based on surgeon preference and fracture type. With this in mind, Stryker has developed the VariAx Clavicle Locking Plate System: an anatomically shaped, variable angled locking plate system, which offers a range of plate choices designed t
LCP Superior Clavicle Plate. Theanatomically precontoured fixationsystem with angular stability for clavicle shaft and lateral clavicle The DePuy Synthes Trauma 3.5 mm LCP Clavicle Plate System, including the 3.5 mm LCP Clavicle Plates and the 2.7 mm/3.5 mm VA LCP Anterior Clavicle Plate System is an anatomically contoured fixation system with angular stability for the clavicle shaft, lateral clavicle and acromioclavicular joint injuries. 3.5mm LCP ® Superior Clavicle Plate
Plate Fixation Surgery For Midshaft Clavicle Fractures Dr. Millett is an expert in treating clavicle fractures (see also: fractures of the shoulder area). A clavicle fracture is essentially a break in the collarbone. This can be caused from a sports injury or a traumatic injury or an accident associated with the collarbone area Clavicle Fracture - Plate Fixation The operation is performed to treat selected displaced fractures of the clavicle. In some individuals surgery may be offered in order to allow an earlier return to function Plate fixation is a preferred technique if distal clavicular bone purchase is adequate. Precontoured anatomic plates with locking capabilities facilitate and optimize fixation in the distal fragment. The avulsed fragment should be included in the plate screw fixation whenever possible
ullary pin fixation or open reduction and plate fixation can be performed. Biome-chanically, both methods provide similar repair strength for middle-third clavicle fractures. After hardware removal, clavicles previously treated with intramedullary fixation were shown to be stronger than those treated with plate fixation. Clinically . Bending of flaps of superior lateral plates A-2091.02 A-2091.01 Plate Bending Iron Clavicle 2/ 2 Plate Bending Iron Clavicle 1/ 2 Notice While bending, the plate must always be held at two adjacen
The Synthes 3.5 mm LCP Clavicle Plate System is indicated for fixation of fractures, malunions, nonunions and osteotomies of the clavicle. Synthes5 6 Synthes3.5 mm LCP Superior and Superior Anterior Clavicle Plates Technique Guid Operative ﬁxation is becoming more commonly used inthe treatment of midshaft clavicle fractures. The purposeof this study was to review complication rates seen withintramedullary ﬁxation using the Rockwood claviclepin. Although complications are still seen with pinning,the complication proﬁle is quite different from plateﬁxation. The beneﬁts of this type of ﬁxation includesmaller scars, no long-term hardware complications, an The A.L.P.S. Clavicle System offers three families of plating solutions based on varied fracture patterns and surgeon preference. Clavicle bones are unique by nature. The system was designed to allow both intuitive fit, and intraoperative flexibility to personalize plate fit as desired through contouring and shortening .L.P.S. Clavicle Plating System is indicated for fixation of fractures, osteotomies and non-unions of the clavicle including osteopenic bone. The system is comprised of low profile anatomic plates that are designed for optimal fit, with features that assist the surgeon to minimize the risk of peripheral damage to surrounding landmarks.
Hook plate fixation is indicated when there is insufficient bone in the distal clavicular fragment for adequate fixation with a conventional or distal clavicle plate. This is typically the case with an intra-articular fracture. Hook plate fixation is an attractive alternative when dealing with fixation of small intra-articular fracture fragments Plate fixation of the clavicle seems to be associated with wound infections and hardware failure in around 10% of cases. 16. These data have mostly come from patients undergoing acute surgery; as such, it would be most interesting to see if there is an increased risk of complications in the case of delayed surgery Plate breakage is one form of construct failure after a clavicle fracture treated with an open reduction and plate fixation. A recent study evaluated construct failure after an open reduction and plate fixation and reported a construct failure rate of 6.9% of which 1.9% were related to broken plates This meta-analysis of randomised controlled trials (RCTs) aimed to investigate the comparative outcomes between plate fixation and intramedullary fixation for management of mid-shaft clavicle fractures. Relevant original studies were searched in electronic databases of PubMed, Medline, Embase and CNKI (all through October 2014). RCTs that investigated the effectiveness or complications between.
Surgical treatment options for symptomatic distal clavicle nonunion include excision of the distal fragment or fracture fixation (with or without use of bone graft). Excision has been recommended if the distal fragment is too small for fixation, whereas fixation is recommended for larger distal fragments Fixation of lateral clavicle fractures and dislocations of the acromioclavicular joint. Fixation of fractures, malunions, nonunions, and osteotomies of the clavicle in adults and in adolescents and transitional adolescents in whom the clavicular growth plates have fused or in whom the growth plates cannot be crossed by the plate system Clavicle Fracture - Plate Fixation for All. Clavicle fractures are recognized as being among the best fractures to have in the upper limb, since most heal well without complication. Over the last few decades, conservative treatment, or careful neglect, was the standard of care Clavicle Fracture Fixation If you and your surgeon have decided that your clavicle fracture requires surgery, this is normally achieved using a clavicle-specific plate and screws. Occasionally the plate construct is augmented by a ligament repair in lateral clavicle fractures, where the bone for fixation is very small or fragmented Your surgeon will bring the pieces of your clavicle back into alignment ( reduction). Next, your surgeon will secure the pieces of clavicle to each other ( fixation). To do this, they may use screws, metal plates, wires, or pins. (Ask what the surgeon will use in your case.) Your surgeon may make other needed repairs
Open reduction and plate fixation have been widely used for the treatment of displaced midshaft clavicular fractures (DMCF). The nonunion rate after plate fixation of DMCF has been reported to be between 0.1 and 15% and the construct failure rate is approximately 5%. Few studies have discussed the risk factors of construct failure. The aim of the present study was to identify possible risk. A number of meta‑analyses have compared clinical outcomes following plate vs. intramedullary fixation for midshaft clavicle fractures (MSCF), but with conflicting results. There is a requirement for updated level‑1 evidence to guide clinicians managing MSCF. The aim of the present systematic review and meta‑analysis was to compare clinical outcomes following plate vs. intramedullary. Eight-hole superior midshaft plates in three different bend variations; Specifically designed superior lateral shaft plate fits at the lateral end of the middle third to the beginning of the lateral third of the clavicle; Multiple screw fixation options and additional A/P flaps in the lateral section of superior lateral plates . hook should be placed posterior to AC joint and positioned as far lateral as possible to avoid hook escape > 3-4 bicortical screws should be placed into the proximal (medial) fragment to reduce the risk of screw pull.
Midshaft clavicle fractures are common traumatic injuries seen in young adults that occur in the middle third of the clavicle. Diagnosis can be made radiographically with shoulder radiographs. Treatment is controversial but may be nonoperative or operative based on patient activity demands and the degree of radiographic displacement and shortening Darren Friedman, MD, (New York, NY) demonstrates his technique for distal clavicle fractures using a plate and coracoclavicular fixation. After fixing the plate medially with screws and prior to inserting the distal screws, he drills tunnels through the clavicle and coracoid under fluoroscopic guidance, eliminating the need to expose the coracoid. A cortical button loaded with FiberTape® and. As a corollary to this question, if you do not recommend IM fixation, give us your current approach and surgical pearls for open reduction and internal fixation of mid-shaft clavicle fractures Wire fixation is used at some centres , but we have had better results with plate fixation. Reconstruction plates can be contoured best to the complex three-dimensional anatomy of the clavicle. As with any tubular bone fracture, fixation of six or more cortices on each side is desirable
Reconstruction plate is considered as an alternative for plate fixation. Though, both dynamic compression plate and reconstruction plate have given equally good results, but with latter it is easier to give contour to the complex form of the clavicle Therefore, patient-specific clavicle fracture fixation plates should be considered to minimally interfere with the MIF. Therefore, patient-specific clavicle fracture fixation plates which. For displaced lateral end clavicle fractures, there is a higher rate of non-union and therefore, the threshold for surgical fixation is lower. Options for surgical fixation include specific lateral end anatomic clavicle plates utilising a variety of locking screw options for the smaller lateral fragment
The clinical relevance is that plate fixation may provide a stronger construct for early rehabilitation protocols that focus on repetitive movements in the early pre-operative period. During a midshaft clavicle fracture, the anterosuperior surface experiences tensile forces whereas the posteroinferior surface experiences compressive forces Product Overview. The ANTHEM ® Clavicle Fracture System is a comprehensive system designed to treat a wide variety of clavicle fractures. The research-based plate design is engineered to fit the anatomical location where clavicle fractures commonly occur
Cite this: Does a Minimal Invasive Approach Reduce Anterior Chest Wall Numbness and Postoperative Pain in Plate Fixation of Clavicle Fractures? - Medscape - May 01, 2015. Abstrac FIG. 20 illustrates a superior fixation plate 200 positioned along a superior surface of a clavicle 10. The superior fixation plates 200, 200′, 200″, 200′ are similar to the anterior fixation plates described above and include an elongate body 202 extending between opposed ends 201, 203 with an outer surface 205 and an inner, bone.
Surgical fixation with a plate and screws is another option for midshaft clavicle fractures. [ 37] An incision is made in line with the clavicle and carried sharply down to the periosteum, with. Flow diagram of literature search strategy to identify manuscripts to compare complications and functional outcomes of plate fixation (PF) or intramedullary fixation (IF) for midshaft clavicle fractures, according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines Background The number of displaced midshaft clavicle fractures treated surgically is increasing and plate fixation is often the treatment modality of choice. The study quality and scientific levels of evidence at which possible complications of thi clavicle plate suture fixation washer Prior art date 2008-07-18 Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.) Active, expires 2031-08-09 Application numbe An animated version of Acumed's suggested method for implanting the Acu-Sinch Repair System, which is designed to support healing of the coracoclavicular ligaments and can be used in conjunction with the Acumed Locking Clavicle Plate to provide fixation during the healing of clavicle fractures
Fixation included precontoured clavicle plates (Synthes (Paoli, PA), Acumed (Hillsboro, OR), and Smith & Nephew (Memphis, TN) in 62 patients (Figures 1 & 2), a reconstruction plate (contoured at the time of surgery) in 5 patients, and a LCDC plate was used in one patient Categories: Orthopaedics, Shoulder, TriMed, Upper Limb Tags: clavicle, plate. Description. Description. Plates designed & contoured to match various sections of the clavicle. Features drill stops to protect the neurovascular bundle. Accommodates for locking & non-locking screws. Related products Plate fixation is an established treatment for Neer type II and V distal clavicle fractures; however, residual coracoclavicular separation after osteosynthesis for unstable distal clavicle fractures has rarely been discussed. This study aimed to reveal the extent of postoperative coracoclavicular separation after plate fixation for distal clavicle fractures and to evaluate the relationship. Clavicle fractures, or breaks in the collarbone, account for approximately 5 percent of all adult fractures. 3 In complicated cases, patients may need surgery using fixation devices to realign the collarbone. 4 One of the most common complications from this surgery is the need for hardware removal due to irritation caused by prominent plates. Background Non-operative management of midshaft clavicle fractures is standard; however, surgical management is increasing. The purpose of this study is to compare the biomechanical performance of plate versus intramedullary fixation in cyclic bending for matched pairs of cadaveric clavicles. We hypothesized that the biomechanical properties are similar. Methods Eight sets of matched clavicles.
The implants of the Alians Clavicle range are dedicated to the fixation of fractures, mal-unions, non-unions, and osteotomies of the clavicle in adults. Technical features. Complete range of plates allowing treatment of lateral, medial and middle-third clavicle fractures Midshaft clavicle fractures are one of the most familiar fractures. And, dual small plate fixation has been reported as can minimize hardware-related complications. However, the biomechanical properties of the dual small plate fixation have not yet been thoroughly evaluated. Here, we report the results of a finite element analysis of the biomechanical properties of midshaft clavicle fractures. Clavicle hook plate fixation for displaced lateral-third clavicle fractures (Neer type II): a functional outcome study. General E 2971 28131682 Lee W, JSES 2017. Clavicle hook plate fixation for distal-third clavicle fracture (Neer type II): comparison of clinical and radiologic outcomes between Neer types IIA and IIB.. A study evaluating the clinical applicability of the Acumed locking clavicle plate reported that this plate is adequately shaped for the fixation of fractures in the medial three-fifths of the clavicular shaft . However, not all patients with a fracture located in the lateral two-fifths of the clavicular shaft had anatomic fit of the plate The precontoured clavicle plate may afford several potential advantages. It has the anatomic shape of the natural clavicle and, with available right and left clavicle fittings, may decrease operative time. With a lower profile and round ends, compared to the 3.5 mm LCDC plate, greater cosmesis and patient tolerance of the plate are possible
Optimize patient recovery times with TriMed's Upper extremity fixation systems for fractures of the hand, wrist, arm, or clavicle. Learn more at TriMed Inc Distal clavicle fractures are common in patients with shoulder injuries. We retrospectively evaluated the clinical outcomes of a novel fixation technique using a miniature locking plate with a sing.. The plate shapes take into consideration the interrelationship between patient stature and clavicle size and is able to accommodate different clavicle shapes and sizes. DePuy Synthes, the orthopedics company of Johnson & Johnson, also said the new system offers thinner plates, improved plate-to-bone fit, and reduced prominence
Plate-screws fixation and intramedullary(IM)nail fixation are two most frequently used fixation methods for clavicle fractures [4, 5]. Plate-screws fixation seems to form a stronger structure than IM fixation in terms of stiffness [6, 7]. One of the difficult situations is the fixation of additional free bone fragments when the comminuted. The incidence rate was 9.8%. Peri-implant fracture following hook plate fixation for distal clavicle fracture was not rare. Small hook angle, prolonged retention of the implant, an eccentric medial screw, high plate screw density, and small clavicle diameter may be risk factors for peri-implant fracture Clavicle Compression Plate Market report focuses on Global major leading players with information such as company profiles, product picture, recent developments, future road map, opportunities.. Free bone fragments were difficult to be fixed in many comminuted midshaft clavicle fractures, and the absence of cortical alignment in comminuted fractures had direct influence on the stability of fixation. This survey was performed to assess the efficacy of doubled-suture Nice knot augmented plate fixation in the treatment of comminuted midshaft clavicle fractures
Systematic review of the complications of plate fixation of clavicle fractures. Arch Orthop Trauma Surg. 2012;132(5):617-25. In our study, the rate of skin erosion with plate exposure was 11.1% (n = 4) in the group fixed with plate and screws. All patients were treated with plate removal and necrotic tissue debridement This systematic review and meta-analysis aims to critically compare the outcomes of plate fixation (PF) versus intramedullary fixation (IF) for the treatment of mid-shaft clavicle fractures. Relevant original studies were searched in electronic databases of Medline, Embase, Cochrane central database and CNKI (all through October 2014). The study was performed according to the PRISMA statement Medial clavicle fractures with a small medial fragment can be immobilized using a plate designed for the contralateral distal clavicle that crosses the sternoclavicular joint to obtain medial fixation in the sternum. This technique may provide a viable treatment modality for this unique fracture pattern An alternative to plate fixation is elastic TEN intramedullary nailing. These devices are implanted within the clavicle's canal to support the bone from the inside. Typical surgical complications are infection, neurological symptoms distal the incision (sometimes to the extremity), and nonunion of the bone (failure of the bone to properly fuse. Easy to Search and Buy Online! Same Day Transfer Available. Buy Private No Pates Today! Speacialising In Private Number Plates & Personalised Registrations In The UK Clavicle Fixation System (CFS) Adult & adolescent range. Midshaft and lateral/distal plates. Low profile design. Extended central section for strength across fracture. Medial and lateral axial angled locking screw option. Anatomic & bendable. Nitinol trials. Stainless steel