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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(02): 295-300
DOI: 10.1055/s-0041-1731358
Artigo Original
Ombro e Cotovelo

Minimally-Invasive Plate Osteosynthesis for Clavicle Fractures[*]

Article in several languages: português | English
Pramod Devkota 
1   Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal
,
Balakrishnan M. Acharya 
1   Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal
,
Nabees Man Singh Pradhan 
1   Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal
,
Suman Kumar Shrestha 
1   Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal
,
Abhishek Kumar Thakur 
1   Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal
,
Bidur Gyawali 
1   Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal
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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 4th postoperstive month, and of 92.35 ± 5.48 in the 8th postoperative month, which was statistically significant. The mean DASH score was of 9.94 ± 1.55 in the 4th postoperative month, and of 5.29 ± 1.85 in the 8th 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

clavicle - fractures, bone - minimally invasive surgical procedures - bone plates - fracture fixation, internal

Financial Support

There was no financial support from public, commercial, or non-profit sources.


Author Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by P. Devkota, B.M. Acharya, and N.M.S Pradhan. The first draft of the manuscript was written by P. Devkota, and all authors commented on previous versions of it. All authors read and approved the final manuscript.


* Study conducted at the Department of Orthopedics and Trauma Surgery, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal.




Publication History

Received: 20 June 2020

Accepted: 01 December 2020

Article published online:
01 October 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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