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Little is known about the beneficial aspects of elective implant removal following plate osteosynthesis of displaced clavicle fractures.
Elective implant removal accounts for up to 30% of all orthopaedic surgeries. While there is general acceptance about the need of implant removal for obvious reasons, such as infections or implant failure, little is known about the beneficial aspects in cases of minor reasons. Therefore, we initiated this study to define patients' benefit of elective implant removal following plate osteosynthesis of displaced clavicle fractures.
Patients and Methods Prospective evaluation of patients was conducted before implant removal and 6 weeks postoperative. Subjective and objective criteria included patients' satisfaction, pain rating on a visual analog scale (VAS) and active range of motion (ROM) pre- and 6 weeks postoperative. Functional scoring included the SPADI, DASH score, the Constant Score and the Munich Shoulder Questionnaire (MSQ).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Removal | All patient receiving surgical removal of plate osteosynthesis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hardware Removal | Procedure | elective removal of plate osteosynthesis at the clavicle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder function | Munich Shoulder Questionnaire allowing for calculation of Constant Score (0-100), Dash (0-100) | 6 Week post surgery |
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Inclusion Criteria:
Exclusion Criteria:
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Patients requesting implant removal
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| Name | Affiliation | Role |
|---|---|---|
| Chlodwig Kirchhoff, MD | Klinikum rechts der Isar, TU 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 |
|---|---|---|---|
| 33130933 | Derived | Wurm M, Beirer M, Zyskowski M, Volk C, Schwarz A, Biberthaler P, Kirchhoff C, Cronlein M. Does implant removal of superior clavicle plate osteosynthesis affect the functional outcome: a prospective trial. Arch Orthop Trauma Surg. 2022 Jan;142(1):139-144. doi: 10.1007/s00402-020-03669-z. Epub 2020 Nov 1. |
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| ID | Term |
|---|---|
| D000098524 | Hardware Removal |
| ID | Term |
|---|---|
| D020878 | Device Removal |
| D013514 | Surgical Procedures, Operative |
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