Plating Clavicle Fractures
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 10/15/2017 |
| Start Date: | October 2008 |
| End Date: | August 2018 |
Does Anterior-Inferior Clavicle Plating Have a Lower Rate of Soft Tissue Irritation Compared to Superior Plating? A Prospective Randomized Trial
The anterior-inferior clavicle plate position will have a lower rate of soft tissue
irritation that limits activity and/or requires hardware removal compared to superior plate
position.
irritation that limits activity and/or requires hardware removal compared to superior plate
position.
Compare the rates of soft-tissue irritation with two different methods of plating for
clavicle fractures. Patients will be randomized to anterior-inferior or superior plating.
Validated shoulder scoring systems will be used to assess outcome. Specific follow-up
questions will address the patient's ability to wear his/her uniform, body armor, ruck sack,
and other shoulder-borne equipment over the surgical site.
clavicle fractures. Patients will be randomized to anterior-inferior or superior plating.
Validated shoulder scoring systems will be used to assess outcome. Specific follow-up
questions will address the patient's ability to wear his/her uniform, body armor, ruck sack,
and other shoulder-borne equipment over the surgical site.
Inclusion Criteria:
- Active duty, Reservists, National Guard service members
- completely displaced shaft fracture of the clavicle (no cortical contact between the
main proximal and distal fragments)
- a fracture involving the middle third of the clavicle (a fracture amenable to plate
fixation with a minimum of three screws in each proximal and distal fragment)
- chronic nonunion and malunion fractures
- no medical contraindications to general anesthesia
- provided informed consent.
Exclusion Criteria:
- an age of less than eighteen years or greater than sixty five years
- a fracture in the proximal or distal third of the clavicle not amenable to plating
- a pathological fracture
- an associated head injury (a Glasgow Coma Scale score of <15 at 21 days after injury)
- an inability to comply with followup
- a medical contraindication to surgery and/or anesthesia (such as heart disease, renal
failure, or active chemotherapy)
- a lack of consent.
We found this trial at
2
sites
Click here to add this to my saved trials
Click here to add this to my saved trials