標題: Comparison of implant failure rates of different plates for midshaft clavicular fractures based on fracture classifications
作者: Chiu, Yung-Cheng
Huang, Kui-Chou
Shih, Cheng-Min
Lee, Kun-Tsan
Chen, Kun-Hui
Hsu, Cheng-En
分子醫學與生物工程研究所
Institute of Molecular Medicine and Bioengineering
關鍵字: Dynamic compression plate;Locking plate;Midshaft clavicular fracture;Open reduction and internal fixation;Reconstruction plate
公開日期: 16-Jul-2019
摘要: BackgroundsThe aim of our study was to investigate failure rates of reconstruction plate and non-reconstruction plate, and find the best strategy for implant selection for different fracture types for midshaft clavicular fractures.Patients and methodsTwo hundred twenty-six consecutive patients with midshaft clavicular fractures who received open reduction and plate fixation during Jan 2012 to July 2017 were reviewed. The correlations between implant failure rates and risk factors including demographic data, fracture classifications, and implant types were analyzed.ResultsAO/OTA fracture classification and plate types are the most important factors affecting implant failure for midshaft clavicular fractures. Reconstruction plate had a significantly higher failure rate (53%) than that of non-reconstruction plates (3%) in comminuted midshaft clavicular (AO/OTA 15-2C) fractures (P value <0.01). However, the difference was not significant in AO/OTA 15-2A and 2B classifications.ConclusionPatients with comminuted midshaft clavicular (AO/OTA 15-2C) fractures treated with reconstruction plates had very high implant failure rates compared to non-reconstruction plates. We suggested that patients with comminuted midshaft clavicular (AO/OTA 15-2C) fractures treated with reconstruction plates need more protection and more frequent follow-up in the postoperative period.
URI: http://dx.doi.org/10.1186/s13018-019-1259-x
http://hdl.handle.net/11536/152658
ISSN: 1749-799X
DOI: 10.1186/s13018-019-1259-x
期刊: JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
Volume: 14
起始頁: 0
結束頁: 0
Appears in Collections:Articles