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Surgical incision for plate osteosynthesis of midshaft fractures of the clavicle averages 7 to 8 centimeters in the literature. It is hypothesized, that depending on the invasiveness of this incision secondary problems like prolonged fracture healing, paresthesia of supraclavicular nerves and pain due to scar tissue increase. Therefore we developed a mini-incision technique using an average incision length of 4cm.
The aim of this study is to analyzed whether secondary problems following plate osteosynthesis of the clavicle correlate mit the length of the surgical access.
Surgical incision for plate osteosynthesis of midshaft fractures of the clavicle averages 7 to 8 centimeters in the literature. It is hypothesized, that depending on the invasiveness of this incision secondary problems like prolonged fracture healing, paresthesia of supraclavicular nerves and pain due to scar tissue increase. Therefore we developed a mini-incision technique using an average incision length of 4cm.
The aim of this study is to analyzed whether secondary problems following plate osteosynthesis of the clavicle correlate mit the length of the surgical access. Therefore a prospective observational protocol was chosen.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| conventional plate osteosynthesis | Active Comparator | Standard procedure |
|
| mini-incision-type osteosynthesis | Active Comparator | mini-incision |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| conventional plate osteosynthesis | Procedure | Standard incision |
| |
| Measure | Description | Time Frame |
|---|---|---|
| area of paresthetic skin | 12 month |
| Measure | Description | Time Frame |
|---|---|---|
| Time to fracture healing | 12 month | |
| Postoperative shoulder function | 12 month |
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Inclusion Criteria:
all patients with fractures of the clavicle and indication for operative intervention using plate osteosynthesis ability to sign informed consent
Exclusion Criteria:
all other patients
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chlodwig Kirchhoff, MD | Contact | chlodwig.kirchhoff@mri.tum.de | ||
| Marc Beirer, MD | Contact | marc.beirer@mri.tum.de |
| Name | Affiliation | Role |
|---|---|---|
| Chlodwig Kirchhoff, MD | Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar | Recruiting | Munich | Bavaria | 81675 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26018526 | Derived | Beirer M, Postl L, Cronlein M, Siebenlist S, Huber-Wagner S, Braun KF, Biberthaler P, Kirchhoff C. Does a minimal invasive approach reduce anterior chest wall numbness and postoperative pain in plate fixation of clavicle fractures? BMC Musculoskelet Disord. 2015 May 28;16:128. doi: 10.1186/s12891-015-0592-4. |
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| mini-incision-type osteosynthesis |
| Procedure |
Mini-incision |
|