Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Bakota, B; Chan, G; Staresinic, M; Rajput, V; Phadnis, J; Korac, Z.
Safe intramedullary fixation of displaced midshaft clavicle fractures with 2.5mm Kirschner wires - technique description and a two-part versus multifragmentary fracture fixation outcome comparison.
Injury. 2017; 48 Suppl 5(1):S27-S33
Doi: 10.1016/S0020-1383(17)30735-0
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
- Bakota Bore
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- The aim of this study was to present a modified Murray and Schwarz 2.5-mm Kirschner wire (K-wire) intramedullary (IM) technique for fixation of displaced midshaft clavicle fractures (DMCF), and to compare the differences in treatment outcome of two-part (Robinson 2B.1) and multifragmentary (Robinson 2B.2) DMCF. A retrospective analysis of 91 patients who underwent IM fixation with a 2.5-mm K-wire for DMCF and had a 1-year post-operative follow-up between 2000 and 2012 was performed. The patients were allocated into two groups: Robinson 2B.1 (n = 64) and Robinson 2B.2 (n = 27). Assessed outcomes were non-union, reoperation rate, wire migration and infection. There was no statistically significant difference in the rate of non-union (2B.1,2B.2; 3.13%, 7.41%; p = 0.365), reoperation (2B.1, 2B.2; 3.13%, 7.41%; p = 0.365), K-wire migration (2B.1, 2B.2; 0.00%, 0.00%; p = 1.00) and clavicle shortening at 12-months (2B.1, 2B.2; 3.13%, 7.41%; p = 0.365). Intramedullary clavicle fixation with a 2.5-mm K-wire is a safe surgical technique. 2B.1 injuries treated with 2.5-mm IM K-wire fixation have relatively improved outcome compared with displaced 2B.2 fractures for both non-union and reoperation rates. There were no occurrences of implant migration with either 2B.1 or 2B.2 injuries, and a non-significant difference in implant irritation was documented with IM K-fixation. The non-union rate with K-wire IM fixation of 2B.1 injuries concords with the published results of other IM devices and thus this technique should be added to the surgeon's armamentarium when considering surgical treatment of such injuries. © 2017 Elsevier Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Bone Plates -
- Bone Wires -
- Clavicle - injuries
- Female -
- Follow-Up Studies -
- Fracture Fixation, Intramedullary -
- Fracture Healing - physiology
- Fractures, Bone - diagnostic imaging
- Fractures, Bone - physiopathology
- Fractures, Bone - surgery
- Humans -
- Joint Dislocations - diagnostic imaging
- Joint Dislocations - physiopathology
- Joint Dislocations - surgery
- Male -
- Middle Aged -
- Range of Motion, Articular -
- Reoperation -
- Retrospective Studies -
- Treatment Outcome -
- Young Adult -
- Find related publications in this database (Keywords)
- clavicle
- fracture
- intramedullary fixation
- K-wire
- Kirschner wire
- complications
- non-union
- midshaft
- displaced