Superior versus anteroinferior plating of displaced midshaft clavicular fracture in patients older than 60 years
Objective To compare superior versus anteroinferior plating for displaced midshaft clavicular fracture in elderly patients. Methods We retrospectively compared the functional result, parameters, and perioperative course of displaced midshaft clavicular fracture in 42 patients >60 years treated wi...
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Veröffentlicht in: | Journal of international medical research 2017-04, Vol.45 (2), p.753-761 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Objective
To compare superior versus anteroinferior plating for displaced midshaft clavicular fracture in elderly patients.
Methods
We retrospectively compared the functional result, parameters, and perioperative course of displaced midshaft clavicular fracture in 42 patients >60 years treated with a 3.5-mm reconstruction plate placed superiorly versus anteroinferiorly.
Results
Groups were similar with regard to age, sex, bone mineral density, cause of injury, and fracture pattern. The superiorly-plated group had a significantly longer operation time and greater blood loss, complications and implant prominence. Constant scores were significantly higher for the anteroinferiorly-plated group than the superiorly-plated group at 3 months postoperatively; however, there was no difference between groups at final follow-up.
Conclusion
While both anteroinferior and superior plate placement are safe and effective for displaced midclavicular fractures in patients >60 years, the anteroinferior approach involves less operation time, blood loss, complications and implant prominence, and enables faster return to normal activities. |
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ISSN: | 0300-0605 1473-2300 |
DOI: | 10.1177/0300060517691698 |