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Treatment of lateral fractures of the clavicle is challenging and has been controversially discussed for a long time due to high non-union rates in non-operative treatment and high complication rates in surgical treatment. A recently developed implant was proven to ensure a biomechanically sufficient fixation of fractures leading to bony union and promising functional outcome in a small collective of patients.
Treatment of lateral fractures of the clavicle is challenging and has been controversially discussed for a long time due to high non-union rates in non-operative treatment and high complication rates in surgical treatment. A recently developed implant was proven to ensure a biomechanically sufficient fixation of fractures leading to bony union and promising functional outcome in a small collective of patients.
In this prospective study patients with dislocated fractures of the lateral clavicle (Jäger&Breitner I-III, Neer I-III) are enrolled. All patients are surgically treated using the locking compression plate (LCP) for the superior anterior clavicle (Synthes®). Functional outcome is recorded using the Munich Shoulder Questionnaire (MSQ) allowing for qualitative self-assessment of the Shoulder Pain and Disability Index (SPADI), of the Disability of the Arm, Shoulder and Hand (DASH) score and of the Constant Score. Acromioclavicular joint stability is evaluated using the Taft-Score.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Plate osteosynthesis | Patients with fracture of the lateral clavicle and indication for surgical treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Plate osteosynthesis | Procedure | Plate osteosynthesis using LCP plate (Synthes) |
|
| Measure | Description | Time Frame |
|---|---|---|
| bone healing | time until bone healing, visualized using conventional x-ray in two planes | 12 month |
| Measure | Description | Time Frame |
|---|---|---|
| shoulder function | shoulder function assessed using Munich Shoulder Questionnaire [MSQ] | 12 month |
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Inclusion Criteria:
Exclusion Criteria:
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Patients suffering from a dislocated fracture of the lateral clavicle presenting at our emergency department.
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| 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 | Munich | Bavaria | 81675 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25406639 | Derived | Beirer M, Siebenlist S, Cronlein M, Postl L, Huber-Wagner S, Biberthaler P, Kirchhoff C. Clinical and radiological outcome following treatment of displaced lateral clavicle fractures using a locking compression plate with lateral extension: a prospective study. BMC Musculoskelet Disord. 2014 Nov 19;15:380. doi: 10.1186/1471-2474-15-380. |
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| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D018460 | Fractures, Comminuted |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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