We wish to report a case of limb threatening ischemia from screw penetration of the axillary artery after plate osteosynthesis for a clavicle nonunion. Follow-up ranged from 0. The precontoured locking plate is now the preferred choice of implant for surgical treatment of clavicle fractures [ 156 ].
However, his brachial, radial and ulnar arteries were not. However, this remains to Plate osteosynthesis clavicle explored in a large cohort, and our purpose was to assess the overall rates of complications and reoperations following locking plate osteosynthesis of mid-shaft clavicle fractures.
Material and methods By studying patient files, surgery records, and preoperative and postoperative X-rays, we identified clavicle fractures in patients treated in our department with pre-contoured locking plate osteosynthesis from January to November Introduction Clavicle fractures comprise five to ten percent of all fractures [ 1 ].
He had pain in the hand with exertion and poor capillary return. He was treated non-operatively and went on to develop a symptomatic nonunion. The aim of this study was to investigate the overall rates of reoperations and complications after locking plate osteosynthesis of midshaft clavicle fractures within one year of surgery.
The locking plate theoretically offers increased stability of fixation, which again should allow for application of greater forces than conventional reconstruction or dynamic compression plates DCP plates.
The method offers stable fixation, and would theoretically be associated with a low rate of fracture-related complications and reoperations.
Abstract Purpose Locking plate osteosynthesis has become the preferred method for operative treatment of clavicle fractures. Received Oct 10; Accepted Jan The results of the Canadian study resulted in a shift towards performing more surgical treatment of displaced, midshaft clavicle fractures.
Abstract Neurovascular complications have been reported from both plate osteosynthesis and intramedullary fixation of midshaft clavicle fractures. All patients included had a midshaft clavicle fracture. The clavicle united and his symptoms resolved. Nine patients did not attend the follow-up at our institution.
Biomechanical studies investigating the impact of torsional and bending load forces on both locking and DCP supports the concept that improved fixation is achieved when using a locking plate [ 78 ]. Neurovascular complications have been reported from both plate osteosynthesis[ 13 — 15 ] and intramedullary fixation of midshaft clavicle fractures.
Despite the frequent use of locking plates, little is known about what rates of complications and reoperations to expect following the use of this technique in daily practice [ 6 ]. Clinically, he had a well-healed scar over his left clavicle with no associated mass or bruit.
Find articles by Adam W. Despite the relative high prevalence of clavicle fractures, the optimal treatment of displaced mid-shaft clavicle fractures remains a matter for debate [ 3 ]. His left axillary artery was palpable. His upper limb neurology was normal. Inthe Canadian Orthopaedic Trauma Society published a randomised controlled trial comparing conservative treatment and plate osteosynthesis for the treatment of displaced midshaft clavicle fractures [ 4 ].
A literature review of vascular trauma from midshaft clavicle fractures is presented. By studying patient files and radiographic material, we assessed complications and reoperations. The medial screw was prominent inferiorly [ Figure 1 ]. Based on assessment of functional outcome and the rate of non-union, the study suggested superiority of plate osteosynthesis.
Clinical studies support advantages of locking plates over more conventional plate types [ 8 — 10 ].
Plain radiographs demonstrated a united clavicle with a six-hole plate superiorly. He presented 6 years after his surgery, with 18 months of progressively worsening pain, paraesthesia and claudication in his left hand. A total of nine patients were lost to follow-up. This article has been cited by other articles in PMC.
A total of fractures in patients, one staged bilateral was included for further analysis. The burden of plate removals in approximately one third of patients should be included in the preoperative information.
In the week prior to presentation, he noticed that his left hand was cool and pale. There were no trophic changes.Neurovascular complications have been reported from both plate osteosynthesis[13–15] and intramedullary fixation of midshaft clavicle fractures.
We wish to report a case of limb threatening ischemia from screw penetration of the axillary artery after plate osteosynthesis for a clavicle nonunion.
2 days ago · Minimally invasive plate osteosynthesis showed some superiority over conventional plate fixation for midshaft clavicle fractures, having. Plate osteosynthesis for displaced clavicle fracture is currently popular and has had good results, but several possible serious complications exist.
Osteosynthesis bone screws are not approved or intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine. 3 1. Nonoperative Treatment Compared with Plate Fixation of Displaced Midshaft Clavicular Fractures.
The VariAx Clavicle Plates give you this option. Type II Anodization The. Locking plate osteosynthesis has become the preferred method for operative treatment of clavicle fractures. The method offers stable fixation, and would theoretically be associated with a low rate of fracture-related complications and reoperations.
The plate was contoured to the curvature of the clavicle. The length of the plate was deter-mined according to the amount of comminution of the fracture. The aimwas to place at least three bicortical screws in the medial and lateral main fragments.
The plate was placed on the anterior aspect of the clavicle (Fig. 3). No bone-grafting was performed.Download