Journal of Shoulder and Elbow Surgery
Volume 19, Issue 6 , Pages 783-789 , September 2010

Locked intramedullary fixation vs plating for displaced and shortened mid-shaft clavicle fractures: A randomized clinical trial

  • Nicholas A. Ferran, MRCSEd

      Affiliations

    • Department of Trauma and Orthopaedic Surgery, Lincoln County Hospital, Lincoln, UK
    • Corresponding Author InformationReprint requests: Nicholas A. Ferran, MRCSEd, Department of Trauma & Orthopaedics, Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY, UK.
    • ,
  • Paul Hodgson, MRCS

      Affiliations

    • Department of Trauma and Orthopaedic Surgery, University Hospital of Wales, Cardiff, UK
    • ,
  • Nicola Vannet, MRCS

      Affiliations

    • Department of Trauma and Orthopaedic Surgery, University Hospital of Wales, Cardiff, UK
    • ,
  • Rhys Williams, FRCS (Tr & Orth)

      Affiliations

    • Department of Trauma and Orthopaedic Surgery, University Hospital of Wales, Cardiff, UK
    • ,
  • Richard O. Evans, FRCS (Tr & Orth)

      Affiliations

    • Department of Trauma and Orthopaedic Surgery, University Hospital of Wales, Cardiff, UK

References 

  1. Canadian Orthopaedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. J Bone Joint Surg [Am]. 2007;89:1–10
  2. Grassi FA, Tajana MS, D'Angelo F. Management of midclavicular fractures: comparison between nonoperative treatment and open intramedullary fixation in 80 patients. J Trauma. 2001;50:1096–1100
  3. Havet E, Duparc F, Tobenas-Dujardin AC, Muller JM, Delas B, Fréger P. Vascular anatomical basis of clavicular non-union. Surg Radiol Anat. 2008;30:23–28
  4. Hill JM, McGuire MH, Crosby LA. Closed treatment of displaced middle-third fractures of the clavicle gives poor results. J Bone Joint Surg [Br]. 1997;79:537–539
  5. Jubel A, Andermahr J, Schiffer G, Tsironis K, Rehm KE. Elastic stable intramedullary nailing of midclavicular fractures with a titanium nail. Clin Orthop Relat Res. 2003;408:279–285
  6. Ledger M, Leeks N, Ackland T, Wang A. Short malunions of the clavicle: an anatomic and functional study. J Shoulder Elbow Surg. 2005;14:349–354
  7. McKee MD, Pedersen EM, Jones C, Stephen DJ, Kreder HJ, Schemitsch EH, et al. Deficits following nonoperative treatment of displaced midshaft clavicular fractures. J Bone Joint Surg [Am]. 2006;88:35–40
  8. Neer CS. Nonunion of the clavicle. J Am Med Assoc. 1960;172:1006–1011
  9. Ngarmukos C, Parkpian V, Patradul A. Fixation of fractures of the midshaft of the clavicle with Kirschner wires. Results in 108 patients. J Bone Joint Surg [Br]. 1998;80:106–108
  10. Ring D, Holovacs T. Brachial plexus palsy after intramedullary fixation of a clavicular fracture. A report of three cases. J Bone Joint Surg Am. 2005;87:1834–1837
  11. Rowe CR. An atlas of anatomy and treatment of midclavicular fractures. Clin Orthop Relat Res. 1968;58:29–42
  12. Smekal V, Deml C, Irenberger A, Niederwanger C, Lutz M, Blauth M, et al. Length determination in midshaft clavicle fractures: validation of measurement. J Orthop Trauma. 2008;22:458–462
  13. Thayagarajan DT, Day M, Dent C, Williams R, Evans R. Treatment of mid-shaft clavicle fractures. A comparative study. Int J Shoulder Surg. 2009;3:23–27
  14. Zlowodzki M, Zelle BA, Cole PA, Jeray K, McKee MD. Evidence-Based Orthopaedic Trauma Working Group. Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group. J Orthop Trauma. 2005;19:504–507

 Ethical Approval: Ethical approval for the study was granted by both South Wales Research Ethics Committee and trust ethics comities (05/WSE04/161).

PII: S1058-2746(10)00205-3

doi: 10.1016/j.jse.2010.05.002

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 6 , Pages 783-789 , September 2010

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