Surgical Innovations in Treatment of Clavicle Fractures

Conditions

Complication

Keywords

clavicle, surgical intervention, mini-incision, plate osteosynthesis

Brief summary

Surgical incision for plate osteosynthesis of midshaft fractures of the clavicle averages 7 to 8 centimeters in the literature. It is hypothesized, that depending on the invasiveness of this incision secondary problems like prolonged fracture healing, paresthesia of supraclavicular nerves and pain due to scar tissue increase. Therefore we developed a mini-incision technique using an average incision length of 4cm. The aim of this study is to analyzed whether secondary problems following plate osteosynthesis of the clavicle correlate mit the length of the surgical access.

Detailed description

Surgical incision for plate osteosynthesis of midshaft fractures of the clavicle averages 7 to 8 centimeters in the literature. It is hypothesized, that depending on the invasiveness of this incision secondary problems like prolonged fracture healing, paresthesia of supraclavicular nerves and pain due to scar tissue increase. Therefore we developed a mini-incision technique using an average incision length of 4cm. The aim of this study is to analyzed whether secondary problems following plate osteosynthesis of the clavicle correlate mit the length of the surgical access. Therefore a prospective observational protocol was chosen.

Beirer M, Postl L, Crönlein M, Siebenlist S, Huber-Wagner S, Braun KF, Biberthaler P, Kirchhoff C.

2015-05-2822 citations

10.1186/s12891-015-0592-4

Interventions

PROCEDUREconventional plate osteosynthesis

Standard incision

PROCEDUREmini-incision-type osteosynthesis

Mini-incision

Study design

Allocation

NON_RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to 75 Years

Healthy volunteers

No

Inclusion criteria

all patients with fractures of the clavicle and indication for operative intervention using plate osteosynthesis ability to sign informed consent

Exclusion criteria

all other patients

Design outcomes

Primary

Measure	Time frame
area of paresthetic skin	12 month

Secondary

Measure	Time frame
Time to fracture healing	12 month
Postoperative shoulder function	12 month

Countries

Germany

Contacts

Primary ContactChlodwig Kirchhoff, MD

chlodwig.kirchhoff@mri.tum.de

Backup ContactMarc Beirer, MD

marc.beirer@mri.tum.de

Outcome results

None listed