The number of displaced midshaft clavicle fractures treated surgically is increasing and plate fixation is often the treatment modality of choice the study quality and scientific levels of evidence at which possible complications of this treatment are presented vary greatly in literature a. Orthopedics | iatrogenic subclavian arteriovenous fistula is rare and has not been reported as a complication of plate osteosynthesis of clavicle fracture this article describes the first case of.
Treatment of displaced midshaft clavicle fractures: figure-of-eight harness versus anterior plate osteosynthesisa randomized controlled trial. Osteosynthesis bone screws are not approved or intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine 3 1 nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures the variax clavicle plates give you this option type ii anodization the.
This technique allows for easy reduction of fractures with accurate prebent plates and minimal soft tissue injury around the fracture site keywords clavicle fracture minimally invasive plate osteosynthesis 3d printing. Locking plate osteosynthesis has become the preferred method for operative treatment of clavicle fractures the method offers stable fixation, and would theoretically be associated with a low rate of fracture-related complications and reoperations.
The current authors describe the technique and the clinical results of mipo with a universal reconstruction ribbon plate (urrp) for fresh displaced midshaft fractures of the clavicle materials. Decortication and plate osteosynthesis for nonunion of the clavicle ft baiimerj md, sm tambert, frcsed(orth] and r hertel, md, 5ern, swifzerlard between 1968 and 1995, 37 patients with ununited frac- tures of the clavicle were treated by decortkaton and plate osteosynthesk. Surgery, with plate osteosynthesis of the displaced clavicle fracture, has in several studies been associated with a high success rate and few complications to date only one randomized trial comparing conservative treatment with plate osteosynthesis of the displaced midshaft fracture has been done. Because biologic fixation has been emphasized to ameliorate fracture healing, minimally invasive plate osteosynthesis (mipo) has been applied to not only other long bone fractures but also clavicular shaft fractures, and good clinical and radiological results have been reported , ,.
Lcp superior clavicle plate the anatomically precontoured fixation system with angular stability for logical, bridging osteosynthesis only the main fragments are for clavicle plates at the appropriate notch to adjust the s-curve, place the plate between the two 16. The variax clavicle locking plate system: an anatomically shaped, variable angled locking plate system, which offers a range of plate choices designed to address these common fractures given this range, surgeons may choose how best to fix the bone with the approach that they see fit. Three different fixation types were used: dynamic compression plate (synthes, oberdorf, switzerland), acumed clavicle locking plate (hillsboro, or, usa), and ao synthes recon plate a total of 52 locking plates (63%) and 30 nonlocking plates (dynamic compression plate and recon plates, 37%) were used. Tension band wiring, plate fixation, osteosynthesis using a hook plate (fig 2), stabilization of the medi-al fragment with either a coracoclavicular screw or management of distal clavicle fractures 147 were better in patients treated with the hook plate (6.
Neurovascular complications have been reported from both plate osteosynthesis and intramedullary fixation of midshaft clavicle fractures we wish to report a case of limb threatening ischemia from screw penetration of the axillary artery after plate osteosynthesis for a clavicle nonunion.