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. 2021 Oct 1;57(2):295-300.
doi: 10.1055/s-0041-1731358. eCollection 2022 Apr.

Minimally-Invasive Plate Osteosynthesis for Clavicle Fractures

Pramod Devkota  1 , Balakrishnan M Acharya  1 , Nabees Man Singh Pradhan  1 , Suman Kumar Shrestha  1 , Abhishek Kumar Thakur  1 , Bidur Gyawali  1
Affiliations

Minimally-Invasive Plate Osteosynthesis for Clavicle Fractures

Pramod Devkota et al. Rev Bras Ortop (Sao Paulo). .

Abstract

Objective To analyze the radiological, clinical, and functional outcomes of clavicle fractures treated with the minimally-invasive plate osteosynthesis (MIPO) technique. Methods From June 2018 to July 2019, 17 cases of clavicular fractures were managed using the MIPO technique under C-arm fluoroscopy. The functional outcomes were assessed using the Constant-Murley score and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The clinical results of union, the complications, the operative time, the hospital stay, as well as infection, were analyzed. Results The mean follow-up time was of 10.41 ± 1.75 months (range: 8 to 14 months). There were 11 male and 6 female patients, with a mean age of 39.05 ± 10.76 years (range: 22 to 57 years). All fractures united on the mean time of 15.35 ± 3.08 weeks (range: 12 to 20 weeks). The mean operative time was of 98.11 ± 13.83 minutes (range: 70 to 130 minutes), and the mean length of the hospital stay was of 4.7 ± 1.12 days (range: 3 to 7 days). The mean Constant-Murley score was of 74.82 ± 6.36 in 4 th postoperstive month, and of 92.35 ± 5.48 in the 8 th postoperative month, which was statistically significant. The mean DASH score was of 9.94 ± 1.55 in the 4 th postoperative month, and of 5.29 ± 1.85 in the 8 th postoperative month, which was also statistically significant. One patient had superficial skin infection at the site of the incision. Conclusions The MIPO technique is an alternative method for the fixation of clavicle fractures, but it is technically more demanding, and requires well-equipped operating room facilities.

Keywords: bone plates; clavicle; fracture fixation, internal; fractures, bone; minimally invasive surgical procedures.

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Conflict of interest statement

Conflito de Interesses Todos os autores declaram não haver conflito de interesses.

Figures

Fig. 1
Fig. 1
Comminuted fracture of the right clavicle in a 39-year-old man.
Fig. 2
Fig. 2
Two small incisions on the medial and lateral sides of the clavicle fracture.
Fig. 3
Fig. 3
Fracture reduction was maintained with external fixation.
Fig. 4
Fig. 4
Intraoperative C-arm picture of the same patient.
Fig. 5
Fig. 5
Good union was observed in the sixth postoperative month.
Fig. 1
Fig. 1
Fratura cominutiva da clavícula direita de um homem de 39 anos.
Fig. 2
Fig. 2
Duas pequenas incisões nos lados medial e lateral da fratura da clavícula.
Fig. 3
Fig. 3
A redução da fratura foi mantida com fixação externa.
Fig. 4
Fig. 4
Imagem intraoperatória do braço em C do mesmo paciente.
Fig. 5
Fig. 5
Boa consolidação foi observada após 6 meses.
See this image and copyright information in PMC

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