Percutaneous Versus Open Plate Fixation of Diaphyseal Clavicle Fractures
Status: | Completed |
---|---|
Conditions: | Orthopedic |
Therapuetic Areas: | Orthopedics / Podiatry |
Healthy: | No |
Age Range: | 18 - 80 |
Updated: | 4/21/2016 |
Start Date: | July 2011 |
End Date: | May 2015 |
This is a prospective, level II evidence comparison between two cohorts. This study is
designed to compare the percutaneous versus open approach for plate fixation of diaphyseal
clavicle fractures. This study includes questionnaires and measurements that will collect
data on incision-related numbness, union rates, overall outcomes, complication rates of the
two methods, infection rates, and overall satisfaction. The surgical procedure, all
radiographs and follow-up visits to a minimum of one year are the principle investigators
(PI's) standard of care for this injury. Measurements and questionnaires are related to the
study.
designed to compare the percutaneous versus open approach for plate fixation of diaphyseal
clavicle fractures. This study includes questionnaires and measurements that will collect
data on incision-related numbness, union rates, overall outcomes, complication rates of the
two methods, infection rates, and overall satisfaction. The surgical procedure, all
radiographs and follow-up visits to a minimum of one year are the principle investigators
(PI's) standard of care for this injury. Measurements and questionnaires are related to the
study.
Inclusion Criteria:
- 18 years of age or older
- displaced (i.e., no cortical contact of fracture ends on two xray view) diaphyseal
clavicle fracture
- fracture pattern amenable to plate fixation
- neurologic injury requiring open reduction
- open clavicle fracture
- clavicle nonunion (defined as an absence of radiographic bony union in the presence
of neurologic, cosmetic, or functional complaints at six months duration
- symptomatic malunion (defined as a healed, but shortened or angulated fracture in the
presence of neurologic, cosmetic, or functional complaints)
- clavicle fracture associated with a scapular of humeral fracture (floating shoulder)
Exclusion Criteria:
- a nondisplaced or minimally displaced closed, neurovascularly intact clavicle
fracture
- fracture of the medial or lateral end of the clavicle
- pathological fracture
- patient is unable to medically tolerate general anesthesia
- patient is unable to provide informed consent or comply with completing
questionnaires
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