The use of precontoured plates for midshaft clavicle fractures is not always the best course of treatment

• 영문명: The use of precontoured plates for midshaft clavicle fractures is not always the best course of treatment
• 발행기관: 대한해부학회
• 저자명: Manmohan Patel Mohtashim Ahmad Natwar Agrawal Sumit Tulshidas Patil John Ashutosh Santoshi Bertha Rathinam Kusum Rajendra Gandhi
• 간행물 정보: 『Anatomy and Cell Biology』Vol.56(4), 456~462쪽, 전체 7쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2023.12.31

영문 초록

Plate fixation has become the preferred approach for treating displaced midshaft clavicle fractures. However, plate fixation of the clavicle presents several unique challenges, including its complex bony architecture and its immediate subcutaneous location. In many cases, we have observed that precontoured implants do not conform to the clavicular anatomy, and many patients complain of postoperative implant-related discomfort. A total of 111 clavicles, both left and right sides, were examined to match two commonly used designs of anatomical pre-contoured superior anterior clavicle plates, with and without lateral extension. The anteroposterior (AP) plane congruence of the plate to the underlying bone, the vertical gap between the bone and plate, and the length of the plate that was off the bone either anteriorly and/or posteriorly at both ends of the clavicle were measured. The scoring system was used to determine the fit of the implant on the clavicle as anatomic, good, or poor. We found that the maximum superior bow of the clavicle was lateral to the midline by 30.75 mm and 30.5 mm on the right and left sides, respectively. The magnitude of the bow was 4.28 mm and 4.46 mm on the right and left sides, respectively. We also found that the plate was a poor fit in 75.86% of cases on the left side and 73.5% of cases on the right side. Manipulating the plates during surgery was very difficult in the AP plane.

목차

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ORCID

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Conflicts of Interest

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키워드

Clavicle Bone plate Fracture malunion Fracture fixation Orthopedic procedures