ArticleBMC musculoskeletal disorders2023
Refracture after plate removal of midshaft clavicle fractures after bone union-incidence, risk factors, management and outcomes.
Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 13 citations in OpenAlex.
- Refracture after implant removal of the clavicle: a retrospective cohort analysis.Journal of orthopaedic surgery and research · 2026Article
- Practice patterns in indications, timing, and imaging for clavicle hardware removal: a survey among German-speaking shoulder surgeons.BMC musculoskeletal disorders · 2026Article
- Biomechanical Study of Load to Failure of a Bone Model After Removal of a 2.7-mm or 3.5-mm Plate.Cureus · 2026Article
- Surgical technique of low-profile dual plating for midshaft clavicle fractures.Operative Orthopadie und Traumatologie · 2026Review
- Statistical Shape Modeling of the Clavicle: Morphological Variation, Sex Differences, and Surgical Implications.Orthopaedic surgery · 2026Article
- Immediate radiographic reduction loss but preserved clinical outcomes after hardware removal in lateral clavicle fractures treated with plate fixation and coracoclavicular augmentation.BMC musculoskeletal disorders · 2026Article
- Refracture after plate removal of midshaft clavicle fracture after bone union during the hospital stay: A case report.Trauma case reports · 2025Article
- Usefulness of using pure β-TCP bone substitute (Neobone) in post-orthopedic implant removal procedures.PloS one · 2025Article
- A Retrospective Machine Learning Analysis to Predict 3-Month Nonunion of Unstable Distal Clavicle Fracture Patients Treated with Open Reduction and Internal Fixation.Therapeutics and clinical risk management · 2025Article
- Usefulness of double plate fixation after failed ORIF for clavicle shaft fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Efficacy of intramedullary bridge fixation for midshaft clavicle fractures: a retrospective analysis of a novel technique.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
introductionThere is a great debate on the routine use of open reduction and internal fixation (ORIF) for midshaft clavicle fractures, and one concern is the adverse events after ORIF, such as implant removal after bone union. In this retrospective study, we assessed the incidence, risk factors, management and outcomes of refracture after plate removal of midshaft clavicle fractures after bone union. MATERIALS AND
methodsThree hundred fifty-two patients diagnosed with acute midshaft clavicle fractures who had complete medical records from primary fractures to refracture were recruited. Details of imaging materials and clinical characteristics were carefully reviewed and analysed.
resultsThe incidence rate of refracture was 6.5% (23/352), and the average interval from implant removal to refracture was 25.6 days. Multivariate analysis showed that the risk factors were Robinson type-2B2 and fair/poor reduction. Females were 2.4 times more likely to have refracture, although it was not significant in multivariate analysis (p = 0.134). Postmenopausal females with a short interval (≤ 12 months) from primary surgery to implant removal had a significant risk for refracture. Tobacco use and alcohol use during bone healing were potential risk factors for male patients, although they were not significant in multivariate analysis. Ten patients received reoperation with or without bone graft, and they had a higher rate of bone union than 13 patients who refused reoperation.
conclusionThe incidence of refracture following implant removal after bone union is underestimated, and severe comminute fractures and unsatisfactory reduction during primary surgery are risk factors. Implant removal for postmenopausal female patients is not recommended due to a high rate of refracture.
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