Introduction: Historically, cerclage wires were not used in the treatment of clavicle fractures because of their invasiveness. The purpose of this study was to evaluate the radiologic results and the incidence of complications following cerclage wire application and plate fixation in the treatment of comminuted mid-shaft clavicle fractures.
Materials And Methods: A total of 116 patients with comminuted mid-shaft clavicle fractures who underwent open reduction and internal fixation were reviewed. We analyzed the postoperative length ratio and bone union period according to the fracture classification, patient age, the number of fragments and the number of applied wires. The thickness of the fracture site was compared with the normal contralateral clavicle shaft.
Results: Bone union was confirmed in all enrolled patients at an average of 14.9±4.67 weeks. There are no significant differences in the length ratio or bone union period among the subgroups (including the fracture types, age, number of fragments and applied wires). The diameter at the occupied area was not significantly from that on the normal side (p=.505).
Conclusions: The application of a single cerclage or multiple cerclage wires around the fracture site did not hamper the clavicle shaft fracture healing. This result suggests that cerclage wires should not be avoided, but can be used as a viable treatment option for clavicle shaft fractures.
Level Of Evidence: IV.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.otsr.2021.103091 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Finite element analysis of a novel patellar fracture fixation method.
BMC Musculoskelet Disord
December 2024
The Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Background: Patellar fractures present challenges in treatment, with traditional methods often leading to complications such as loss of reduction and implant failure. This study aimed to compare a novel suture fixation technique with the traditional tension band method using finite element analysis.
Methods: CT images of a healthy 35-year-old male were used to construct 3D patellar models.
Periprosthetic Hip Fracture due to Ballistic Injuries.
Arthroplast Today
December 2024
Department of Orthopaedic Surgery, Complejo Asistencial Sótero Del Río, Santiago, Región Metropolitana, Chile.
Periprosthetic hip fractures are a common cause for revision. To date, however, there are no reports of periprosthetic fractures (PFs) in total hip arthroplasty caused by ballistic injury (BI). There are no current recommendations on the management of this pathology in the literature.
View Article and Find Full Text PDF"Intra-Articular Intrusion of Broken Patella Cerclage Wire and the Importance of Higher Imaging in Its Rescue" - A Case Report.
J Orthop Case Rep
November 2024
Department of Orthopaedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
Introduction: In this case report, we would like to discuss about a 51-year-old gentleman, who had underwent patella tension band wiring for transverse patella fracture 3 years ago and presented with a painful knee with broken cerclage wire with a fragment migrating into the joint.
Case Report: The aim of the study was to highlight the importance of higher imaging (Computed tomography) in deciding whether the retrieval of the fragment can be attempted through a minimally invasive arthroscopic technique.
Result: CT of the knee joint with 3D reconstruction was done and it showed the broken migrated fragment to be intra-articular and intracapsular.
"Tension band wiring first" -an easy, fast and reproducible technique to reduce patellar fractures, a retrospective comparative study with traditional reduction technique.
J Orthop Surg Res
November 2024
Orthopedic Department, Second Affiliated Hospital of Soochow University, Suzhou, 215004, China.
Objective: To evaluate intraoperative and early postoperative clinical outcomes using the "tension band wiring first technique" to reduce C type patellar fractures.
Methods: Sixty-four patients with C type fractures were enrolled in this study. Thirty-four patients underwent open reduction and internal fixation (ORIF) surgeries using the traditional reduction technique by pointed clamps (TRT group).
Partial coverage adhesive augmented sternal fixation and stabilization: A biomechanical analysis.
J Biomech
December 2024
Toronto Metropolitan University, Department of Biomedical Engineering, Canada. Electronic address:
Adhesive-augmented sternal fixation (AASF) has been investigated as an alternative to the clinical standard of cerclage wires; however, previous studies have focused on a full adhesive layer across the sternal midline, which acts as a barrier to bone healing. This study used a human cadaveric model to investigate if partial coverage AASF used in combination with wired fixation could provide adequate stability. Median sternotomies were performed on fifteen human cadaveric sterna.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!