Elastic stable intramedullary nailing versus nonoperative treatment of displaced midshaft clavicular fractures - A randomized, controlled, clinical trial

Journal of Orthopaedic Trauma

Volumn 23, Issue 2, 2009, Pages 106-112

  Smekal, Vinzenz ^a   Irenberger, Alexander ^a   Struve, Peter ^a   Wambacher, Markus ^a   Krappinger, Dietmar ^a   Kralinger, Franz Sebastian ^a  

^a INNSBRUCK MEDICAL UNIVERSITY   (Austria)

Author keywords

Clavicular fracture; ESIN; Nonoperative treatment; Outcome; Shortening

Indexed keywords

ADULT; ARTICLE; CLAVICLE FRACTURE; CLINICAL TRIAL; CONSERVATIVE TREATMENT; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; FOLLOW UP; FRACTURE HEALING; FRACTURE IMMOBILIZATION; FRACTURE NONUNION; HUMAN; INTERMETHOD COMPARISON; INTRAMEDULLARY NAILING; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; ADOLESCENT; AGED; CLAVICLE; COMPARATIVE STUDY; DISABILITY; FRACTURE; INJURY; METHODOLOGY; MIDDLE AGED; ORTHOTICS; PATIENT SATISFACTION; TREATMENT OUTCOME;

ADOLESCENT; ADULT; AGED; CLAVICLE; DISABILITY EVALUATION; FEMALE; FRACTURE FIXATION, INTRAMEDULLARY; FRACTURE HEALING; FRACTURES, BONE; FRACTURES, UNUNITED; HUMANS; MALE; MIDDLE AGED; ORTHOTIC DEVICES; PATIENT SATISFACTION; POSTOPERATIVE COMPLICATIONS; TREATMENT OUTCOME; YOUNG ADULT;

EID: 61549122382     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/BOT.0b013e318190cf88     Document Type: Article

References (43)

1. Nordqvist A, Petersson C. The incidence of fractures of the clavicle. Clin Orthop Relat Res. 1994;300:127-132.
2. Postacchini F, Gumina S, De Santis P, et al. Epidemiology of clavicle fractures. J Shoulder Elbow Surg. 2002;11:452-456.
3. Robinson CM. Fractures of the clavicle in the adult. Epidemiology and classification. J Bone Joint Surg Br. 1998;80:476-484.
4. Neer CS II. Nonunion of the clavicle. JAMA. 1960;172:1006-1011.
5. Rowe CR. An atlas of anatomy and treatment of midclavicular fractures. Clin Orthop Relat Res. 1968;58:29-42.
6. Eskola A, Vainionpaa S, Myllynen P, et al. Outcome of clavicular fracture in 89 patients. Arch Orthop Trauma Surg. 1986;105:337-338.
7. 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. (Pubitemid 27346103)
8. Lazarides S, Zafiropoulos G. Conservative treatment of fractures at the middle third of the clavicle: the relevance of shortening and clinical outcome. J Shoulder Elbow Surg. 2006;15:191-194. (Pubitemid 43331089)
9. McKee MD, Pedersen EM, Jones C, et al. Deficits following nonoperative treatment of displaced midshaft clavicular fractures. J Bone Joint Surg Am. 2006;88:35-40. (Pubitemid 43062770)
10. Nowak J, Holgersson M, Larsson S. Can we predict long-term sequelae after fractures of the clavicle based on initial findings? A prospective study with nine to ten years of follow-up. J Shoulder Elbow Surg. 2004;13:479-486. (Pubitemid 39220696)
11. Nowak J, Holgersson M, Larsson S. Sequelae from clavicular fractures are common: a prospective study of 222 patients. Acta Orthop. 2005;76:496-502. (Pubitemid 41232779)
12. Robinson CM, Court-Brown CM, McQueen MM, et al. Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg Am. 2004;86-A:1359-1365.
13. Zlowodzki M, Zelle BA, Cole PA, et al. 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. (Pubitemid 41264730)
14. Orthopaedic Trauma Association Committee for Coding and Classification. Fracture and dislocation compendium. J Orthop Trauma. 1996;10(Suppl 1):v-ix, 1-154.
15. Jubel A, Andermahr J, Faymonville C, et al. Reconstruction of shoulder-girdle symmetry after midclavicular fractures. Stable, elastic intramedullary pinning versus rucksack bandage. Chirurg. 2002;73:978-981.
16. Jubel A, Andermahr J, Prokop A, et al. Minimal invasive biological osteosynthesis of the clavicle with a titanium nail. Kongressbd Dtsch Ges Chir Kongr. 2002;119:485-490.
17. MacDermid JC, Richards RS, Donner A, et al. Responsiveness of the short form-36, disability of the arm, shoulder, and hand questionnaire, patient-rated wrist evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture. J Hand Surg [Am]. 2000;25:330-340. (Pubitemid 30165598)
18. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;214:160-164.
19. Smekal V, Deml C, Irenberger A, et al. Length determination in midshaft clavicle fractures: validation of measurement. J Orthop Trauma. 2008;22:458-462.
20. Jeray KJ. Acute midshaft clavicular fracture. J Am Acad Orthop Surg. 2007;15:239-248.
21. Andermahr J, Jubel A, Elsner A, et al. Anatomy of the clavicle and the intramedullary nailing of midclavicular fractures. Clin Anat. 2007;20:48-56. (Pubitemid 44893993)
22. McKee MD, Wild LM, Schemitsch EH. Midshaft malunions of the clavicle. J Bone Joint Surg Am. 2003;85-A:790-797.
23. McKee MD, Wild LM, Schemitsch EH. Midshaft malunions of the clavicle. Surgical technique. J Bone Joint Surg Am. 2004;86-A(Suppl 1):37-43.
24. Ledger M, Leeks N, Ackland T, et al. Short malunions of the clavicle: an anatomic and functional study. J Shoulder Elbow Surg. 2005;14:349-354. (Pubitemid 40979645)
25. Petracic B. Efficiency of a rucksack bandage in the treatment of clavicle fractures. Unfallchirurgie. 1983;9:41-43.
26. Andersen K, Jensen PO, Lauritzen J. Treatment of clavicular fractures. Figure-of-eight bandage versus a simple sling. Acta Orthop Scand. 1987;58:71-74.
27. Jubel A, Andemahr J, Bergmann H, et al. Elastic stable intramedullary nailing of midclavicular fractures in athletes. Br J Sports Med. 2003;37:480-483; discussion 484. (Pubitemid 36307519)
28. Wick M, Muller EJ, Kollig E, et al. Midshaft fractures of the clavicle with a shortening of more than 2 cm predispose to nonunion. Arch Orthop Trauma Surg. 2001;121:207-211. (Pubitemid 32236993)
29. Andermahr J, Jubel A, Elsner A, et al. Malunion of the clavicle causes significant glenoid malposition: a quantitative anatomic investigation. Surg Radiol Anat. 2006;28:447-456.
30. 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. (Pubitemid 46070144)
31. Davids PH, Luitse JS, Strating RP, et al. Operative treatment for delayed union and nonunion of midshaft clavicular fractures: AO reconstruction plate fixation and early mobilization. J Trauma. 1996;40:985-986.
32. Der Tavitian J, Davison JN, Dias JJ. Clavicular fracture non-union surgical outcome and complications. Injury. 2002;33:135-143. (Pubitemid 34219088)
33. Simpson NS, Jupiter JB. Clavicular nonunion and malunion: evaluation and surgical management. J Am Acad Orthop Surg. 1996;4:1-8.
34. Wilkins RM, Johnston RM. Ununited fractures of the clavicle. J Bone Joint Surg Am. 1983;65:773-778.
35. Brinker MR, Edwards TB, O'Connor DP. Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg Am. 2005;87:676-677; author reply 677.
36. Lee YS, Lin CC, Huang CR, et al. Operative treatment of midclavicular fractures in 62 elderly patients: Knowles pin versus plate. Orthopedics. 2007;30:959-964.
37. 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. (Pubitemid 32591772)
38. Strauss EJ, Egol KA, France MA, et al. Complications of intramedullary Hagie pin fixation for acute midshaft clavicle fractures. J Shoulder Elbow Surg. 2007;16:280-284.
39. Jubel A, Andermahr J, Schiffer G, et al. Technique of intramedullary osteosynthesis of the clavicle with elastic titanium nails. Der Unfallchirurg. 2002;105:511-516.
40. Jubel A, Andermahr J, Schiffer G, et al. Elastic stable intramedullary nailing of midclavicular fractures with a titanium nail. Clin Orthop Relat Res. 2003;408:279-285. (Pubitemid 36307519)
41. Kettler M, Schieker M, Braunstein V, et al. Flexible intramedullary nailing for stabilization of displaced midshaft clavicle fractures: technique and results in 87 patients. Acta Orthop. 2007;78:424-429. (Pubitemid 47027153)
42. Muller MC, Burger C, Florczyk A, et al. Elastic titanium nails in minimally invasive osteosynthesis for mid-clavicular fractures. Chirurg. 2007;78:349-355.
43. White RRAP, Kristianson T, Healy W. Adult clavicle fractures: relationship between mechanism of injury and healing. Orthop Trans. 1989;13:514-515.