ArticleOTA international : the open access journal of orthopaedic trauma2023
Anteroinferior plating is an independent factor for decreasing symptomatic implant removal rates after plate fixation for midshaft clavicle fractures.
Article in OTA international : the open access journal of orthopaedic trauma, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Review
- Effect of Sextant Fixating Angle of Spiral Clavicle Plate on Biomechanical Stability-A Preliminary Finite Element Study.Bioengineering (Basel, Switzerland) · 2024Article
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4 authors.
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Abstract
Objectives: The factors that significantly influence the symptomatic implant removal rates after plate fixation for midshaft clavicle fractures remain controversial. The purpose of this study was to compare the symptomatic implant removal rates between 2 different types of plating technique and to evaluate independently associated factors. Design: Retrospective cohort study. Setting: Acute care center. Patients/Participants: A total of 71 patients 16 years or older who were diagnosed with displaced midshaft clavicle fractures from April 2016 to March 2020. Intervention: Thirty-nine patients were treated with superior plating (Group SP), and the remaining 32 patients were treated with anteroinferior plating (Group AIP). Main Outcome Measurements: Symptomatic implant removal rates after plate fixation for midshaft clavicle fractures. Results: Symptomatic implant removal rates were significantly lower in Group AIP (28.1%) than in Group SP (53.8%) ( Conclusions: AIP significantly and independently decreased the symptomatic implant removal rate. Among the three explanatory factors showing significant difference, plating technique is the only factor that can be altered by medical institutions. Therefore, we recommend this technique for displaced midshaft clavicle fractures to reduce a second surgery such as symptomatic implant removal. Level of Evidence: Level 3, retrospective cohort study.
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