Elsevier

Injury

Volume 9, Issue 4, 1977–1978, Pages 263-267
Injury

Plating of fractures of the middle third of the clavicle

https://doi.org/10.1016/S0020-1383(77)80041-7Get rights and content

Summary

Twenty mid-clavicular fractures are reported which required plate fixation. This technique gave relief from pain within 12 hours and resulted in bony union in every case. The indications for this operation are described.

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There are more references available in the full text version of this article.

Cited by (52)

  • Plate versus intramedullary fixation of two-part and multifragmentary displaced midshaft clavicle fractures – a long-term analysis

    2017, Injury
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    Non-operative treatment has been shown to result in higher levels of non-union and worse functional outcomes in certain fracture types [1,2]. The thin soft tissue envelope surrounding the clavicle poses challenges to surgical fixation, and the lack of soft tissue overlying the clavicle and its anatomical position contribute to common postoperative complaints from patients relating to scar discomfort and appearance and postoperative metal-work irritation [3–5]. These factors may prompt subsequent metal-work removal, which can result in an increased rate of refracture [6].

  • Fractures of the Clavicle

    2016, Rockwood and Matsen’s The Shoulder
  • Perioperative risks associated with the operative treatment of clavicle fractures

    2013, Injury
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    Three patients (8.1%) went on to have the hardware removed as a result of discomfort or irritation. The reported incidence of implant (plates and screws) removal in the literature varies from 0% to 73%.11,12,15,17,22,23,25 Whether this variation is a result of differences in implant placement or patient expectations and activity levels remains unclear; however, the superficial nature of the clavicle may lend itself to an increased rate of implant-induced irritation and possibly require a subsequent procedure to alleviate symptoms.

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Present position: Royal Orthopaedic Hospital, The Woodlands, Birmingham.

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