Comparison of implant failure rates of different plates for midshaft clavicular fractures based on fracture classifications

被引：14

作者：

Chiu, Yung-Cheng ^{[1
,2
]}

Huang, Kui-Chou ^{[3
,4
]}

Shih, Cheng-Min ^{[5
,6
]}

Lee, Kun-Tsan ^{[5
,7
]}

Chen, Kun-Hui ^{[5
,8
]}

Hsu, Cheng-En ^{[5
,9
]}

机构：

[1] China Med Univ Hosp, Dept Orthoped, Taichung, Taiwan

[2] China Med Univ, Sch Med, Taichung, Taiwan

[3] Asia Univ Hosp, Dept Orthoped, Taichung, Taiwan

[4] Asia Univ, Dept Occupat Therapy, Taichung, Taiwan

[5] Taichung Vet Gen Hosp, Dept Orthoped, Taichung, Taiwan

[6] Natl Chiao Tung Univ, Inst Biomed Engn, Hsinchu, Taiwan

[7] Natl Chung Hsing Univ, Dept Vet Med, Coll Vet Med, Taichung, Taiwan

[8] Hung Kuang Univ, Dept Biomed Engn, Taichung, Taiwan

[9] Tunghai Univ, Sports Recreat & Hlth Management Continuing Studi, Taichung, Taiwan

来源：

JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH | 2019年 / 14卷 / 1期

关键词：

Dynamic compression plate; Locking plate; Midshaft clavicular fracture; Open reduction and internal fixation; Reconstruction plate; NONOPERATIVE TREATMENT; RECONSTRUCTION PLATE; OPEN REDUCTION; FIXATION; MANAGEMENT; MULTICENTER;

D O I：

10.1186/s13018-019-1259-x

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

BackgroundsThe aim of our study was to investigate failure rates of reconstruction plate and non-reconstruction plate, and find the best strategy for implant selection for different fracture types for midshaft clavicular fractures.Patients and methodsTwo hundred twenty-six consecutive patients with midshaft clavicular fractures who received open reduction and plate fixation during Jan 2012 to July 2017 were reviewed. The correlations between implant failure rates and risk factors including demographic data, fracture classifications, and implant types were analyzed.ResultsAO/OTA fracture classification and plate types are the most important factors affecting implant failure for midshaft clavicular fractures. Reconstruction plate had a significantly higher failure rate (53%) than that of non-reconstruction plates (3%) in comminuted midshaft clavicular (AO/OTA 15-2C) fractures (P value <0.01). However, the difference was not significant in AO/OTA 15-2A and 2B classifications.ConclusionPatients with comminuted midshaft clavicular (AO/OTA 15-2C) fractures treated with reconstruction plates had very high implant failure rates compared to non-reconstruction plates. We suggested that patients with comminuted midshaft clavicular (AO/OTA 15-2C) fractures treated with reconstruction plates need more protection and more frequent follow-up in the postoperative period.

引用

页数：7

共 23 条

[1] The Clavicle Trial A Multicenter Randomized Controlled Trial Comparing Operative with Nonoperative Treatment of Displaced Midshaft Clavicle Fractures [J].