Treatment of midclavicular nonunion: comparison of dynamic compression plating and low-contact dynamic compression plating techniques
In this study a comparison of patients with midclavicular nonunion, treated by a combination of internal fixation with dynamic compression plate (DCP) or low-contact DCP (LC-DCP) and application of autogenous corticocancellous chips or sculptured graft on nonunion areas, was performed. Time to union...
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| Veröffentlicht in: | Journal of shoulder and elbow surgery 2004-07, Vol.13 (4), p.396-403 |
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| container_title | Journal of shoulder and elbow surgery |
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| creator | Kabak, Sevki Halici, Mehmet Tuncel, Mehmet Avsarogullari, Levent Karaoglu, Sinan |
| description | In this study a comparison of patients with midclavicular nonunion, treated by a combination of internal fixation with dynamic compression plate (DCP) or low-contact DCP (LC-DCP) and application of autogenous corticocancellous chips or sculptured graft on nonunion areas, was performed. Time to union in the patients treated with LC-DCP fixation was shorter than in those treated with DCP fixation (
P < .001). Union was obtained in all patients treated with LC-DCP fixation and in 87.5% of those treated with DCP fixation. All of those treated with LC-DCP fixation returned to their original jobs, whereas two patients treated with DCP fixation had to change jobs. According to the Disabilities of the Arm, Shoulder, and Hand functional score, at the last follow-up visit, functional outcomes of the patients treated with LC-DCP fixation were more satisfactory (
P < .001). The addition of internal fixation of the clavicle with DCP or LC-DCP to application of autogenous corticocancellous chips, or sculptured graft on nonunion areas in patients with midclavicular nonunion, shortens the time to union, increases union rates, and provides satisfactory functional outcomes. |
| doi_str_mv | 10.1016/j.jse.2004.01.033 |
| format | Article |
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P < .001). Union was obtained in all patients treated with LC-DCP fixation and in 87.5% of those treated with DCP fixation. All of those treated with LC-DCP fixation returned to their original jobs, whereas two patients treated with DCP fixation had to change jobs. According to the Disabilities of the Arm, Shoulder, and Hand functional score, at the last follow-up visit, functional outcomes of the patients treated with LC-DCP fixation were more satisfactory (
P < .001). The addition of internal fixation of the clavicle with DCP or LC-DCP to application of autogenous corticocancellous chips, or sculptured graft on nonunion areas in patients with midclavicular nonunion, shortens the time to union, increases union rates, and provides satisfactory functional outcomes.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2004.01.033</identifier><identifier>PMID: 15220879</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Biological and medical sciences ; Bone Plates ; Clavicle - diagnostic imaging ; Clavicle - injuries ; Clavicle - surgery ; Compressive Strength ; Diseases of the osteoarticular system ; Female ; Fracture Fixation - methods ; Fractures, Ununited - diagnostic imaging ; Fractures, Ununited - surgery ; Humans ; Internal Fixators ; Male ; Malformations and congenital and or hereditary diseases involving bones. Joint deformations ; Medical sciences ; Middle Aged ; Patient Satisfaction ; Prospective Studies ; Radiography ; Range of Motion, Articular ; Treatment Outcome</subject><ispartof>Journal of shoulder and elbow surgery, 2004-07, Vol.13 (4), p.396-403</ispartof><rights>2004 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-c86267ea8d945638a6e396fd7f939b330dc6eed6a60c478b2f08a064bf890163</citedby><cites>FETCH-LOGICAL-c379t-c86267ea8d945638a6e396fd7f939b330dc6eed6a60c478b2f08a064bf890163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jse.2004.01.033$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15933074$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15220879$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kabak, Sevki</creatorcontrib><creatorcontrib>Halici, Mehmet</creatorcontrib><creatorcontrib>Tuncel, Mehmet</creatorcontrib><creatorcontrib>Avsarogullari, Levent</creatorcontrib><creatorcontrib>Karaoglu, Sinan</creatorcontrib><title>Treatment of midclavicular nonunion: comparison of dynamic compression plating and low-contact dynamic compression plating techniques</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>In this study a comparison of patients with midclavicular nonunion, treated by a combination of internal fixation with dynamic compression plate (DCP) or low-contact DCP (LC-DCP) and application of autogenous corticocancellous chips or sculptured graft on nonunion areas, was performed. Time to union in the patients treated with LC-DCP fixation was shorter than in those treated with DCP fixation (
P < .001). Union was obtained in all patients treated with LC-DCP fixation and in 87.5% of those treated with DCP fixation. All of those treated with LC-DCP fixation returned to their original jobs, whereas two patients treated with DCP fixation had to change jobs. According to the Disabilities of the Arm, Shoulder, and Hand functional score, at the last follow-up visit, functional outcomes of the patients treated with LC-DCP fixation were more satisfactory (
P < .001). The addition of internal fixation of the clavicle with DCP or LC-DCP to application of autogenous corticocancellous chips, or sculptured graft on nonunion areas in patients with midclavicular nonunion, shortens the time to union, increases union rates, and provides satisfactory functional outcomes.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bone Plates</subject><subject>Clavicle - diagnostic imaging</subject><subject>Clavicle - injuries</subject><subject>Clavicle - surgery</subject><subject>Compressive Strength</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Fracture Fixation - methods</subject><subject>Fractures, Ununited - diagnostic imaging</subject><subject>Fractures, Ununited - surgery</subject><subject>Humans</subject><subject>Internal Fixators</subject><subject>Male</subject><subject>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Satisfaction</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Treatment Outcome</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9u1DAQhy1ERcvCA3BBudBbwjhOnBhOqCp_pEq97N3yjifgVWIvtlPUB-C98bIrwam-jGV9vxnPx9gbDg0HLt_vm32ipgXoGuANCPGMXfFetLXsAZ6XO_Rj3Q6dvGQvU9oDgOqgfcEued-2MA7qiv3eRjJ5IZ-rMFWLszibB4frbGLlg1-9C_5DhWE5mOhS8EfKPnqzOPz7GimlglSH2WTnv1fG22oOv2oMPhvMT7KZ8Id3P1dKr9jFZOZEr891w7afb7c3X-u7-y_fbj7d1SgGlWscZSsHMqNVXS_FaCQJJSc7TEqonRBgURJZaSRgN4y7doLRgOx206iKL7Fh16e2hxiOY7NeXEKaZ-MprEnLcjpePG4YP4EYQ0qRJn2IbjHxUXPQR_V6r4t6fVSvgesSKZm35-brbiH7L3F2XYB3Z8AkNPMUjUeX_uNU2WDoCvfxxFEx8eAo6oSOPJJ1kTBrG9wT3_gD8uqktQ</recordid><startdate>20040701</startdate><enddate>20040701</enddate><creator>Kabak, Sevki</creator><creator>Halici, Mehmet</creator><creator>Tuncel, Mehmet</creator><creator>Avsarogullari, Levent</creator><creator>Karaoglu, Sinan</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040701</creationdate><title>Treatment of midclavicular nonunion: comparison of dynamic compression plating and low-contact dynamic compression plating techniques</title><author>Kabak, Sevki ; Halici, Mehmet ; Tuncel, Mehmet ; Avsarogullari, Levent ; Karaoglu, Sinan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-c86267ea8d945638a6e396fd7f939b330dc6eed6a60c478b2f08a064bf890163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bone Plates</topic><topic>Clavicle - diagnostic imaging</topic><topic>Clavicle - injuries</topic><topic>Clavicle - surgery</topic><topic>Compressive Strength</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Fracture Fixation - methods</topic><topic>Fractures, Ununited - diagnostic imaging</topic><topic>Fractures, Ununited - surgery</topic><topic>Humans</topic><topic>Internal Fixators</topic><topic>Male</topic><topic>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Satisfaction</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kabak, Sevki</creatorcontrib><creatorcontrib>Halici, Mehmet</creatorcontrib><creatorcontrib>Tuncel, Mehmet</creatorcontrib><creatorcontrib>Avsarogullari, Levent</creatorcontrib><creatorcontrib>Karaoglu, Sinan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kabak, Sevki</au><au>Halici, Mehmet</au><au>Tuncel, Mehmet</au><au>Avsarogullari, Levent</au><au>Karaoglu, Sinan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of midclavicular nonunion: comparison of dynamic compression plating and low-contact dynamic compression plating techniques</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2004-07-01</date><risdate>2004</risdate><volume>13</volume><issue>4</issue><spage>396</spage><epage>403</epage><pages>396-403</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>In this study a comparison of patients with midclavicular nonunion, treated by a combination of internal fixation with dynamic compression plate (DCP) or low-contact DCP (LC-DCP) and application of autogenous corticocancellous chips or sculptured graft on nonunion areas, was performed. Time to union in the patients treated with LC-DCP fixation was shorter than in those treated with DCP fixation (
P < .001). Union was obtained in all patients treated with LC-DCP fixation and in 87.5% of those treated with DCP fixation. All of those treated with LC-DCP fixation returned to their original jobs, whereas two patients treated with DCP fixation had to change jobs. According to the Disabilities of the Arm, Shoulder, and Hand functional score, at the last follow-up visit, functional outcomes of the patients treated with LC-DCP fixation were more satisfactory (
P < .001). The addition of internal fixation of the clavicle with DCP or LC-DCP to application of autogenous corticocancellous chips, or sculptured graft on nonunion areas in patients with midclavicular nonunion, shortens the time to union, increases union rates, and provides satisfactory functional outcomes.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>15220879</pmid><doi>10.1016/j.jse.2004.01.033</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Bone Plates Clavicle - diagnostic imaging Clavicle - injuries Clavicle - surgery Compressive Strength Diseases of the osteoarticular system Female Fracture Fixation - methods Fractures, Ununited - diagnostic imaging Fractures, Ununited - surgery Humans Internal Fixators Male Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences Middle Aged Patient Satisfaction Prospective Studies Radiography Range of Motion, Articular Treatment Outcome |
| title | Treatment of midclavicular nonunion: comparison of dynamic compression plating and low-contact dynamic compression plating techniques |
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