Surgical Results of Minimally Invasive Percutaneous Plate Fixation in the Treatment of Clavicle Shaft Fracture

Seong Ho Yoo; Suk Woong Kang; Jae Seung Seo

doi:10.12671/jkfs.2019.32.1.21

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Original Article Surgical Results of Minimally Invasive Percutaneous Plate Fixation in the Treatment of Clavicle Shaft Fracture: Seong Ho Yoo, Suk Woong Kang, Jae Seung Seo; Journal of Musculoskeletal Trauma 2019;32(1):21-26.
DOI: https://doi.org/10.12671/jkfs.2019.32.1.21
Published online: January 31, 2019

¹Department of Orthopedic Surgery, Busan Daedong Hospital, Busan, Korea.

²Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea. redmaniak@naver.com

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Abstract

PURPOSE
This study analyzed the results of the midclavicle fracture treatment using the minimally invasive percutaneous plate osteosynthesis (MIPO) technique in a retrospective manner.
MATERIALS AND METHODS
Between March 2013 and March 2017, this study analyzed 40 patients who received MIPO surgery. Excluding 1 patient who underwent surgery on another body part injury, and 4 patients who were lost to follow-up over 1 year, 40 patients were analyzed for their operation time, bone union, functional American Shoulder and Elbow Surgeons score, scar lengths, pain relief (visual analogue scale), and complications.
RESULTS
All patients over a 1 year of follow-up achieved bone union, and American Shoulder and Elbow Surgeons score 97.6 (94â€“100) on their shoulder functional scores. Their average operation time was 42.7 minutes, and the average scar length was 6.1 cm. Eighteen patients successfully received metal removal using the previous scar without additional incision. The clavicle length was similar in the normal and operated group.
CONCLUSION
Despite its small sample size, clavicle fixation using the MIPO technique can be considered an effective treatment because of its limited number of complications, such as nonunion and rotational angulations.

Keywords: Clavicle shaft fracture, Plate fixation, Minimally invasive percutaneous plate osteosynthesis

J Korean Fract Soc. 2019 Jan;32(1):21-26. Korean.
Published online Jan 25, 2019.
https://doi.org/10.12671/jkfs.2019.32.1.21

Original Article

Surgical Results of Minimally Invasive Percutaneous Plate Fixation in the Treatment of Clavicle Shaft Fracture

Seong-Ho Yoo

, M.D., Suk-Woong Kang

, M.D.,^* and Jae-Seung Seo

, M.D.

Author information

Author notes

- Department of Orthopedic Surgery, Busan Daedong Hospital, Busan, Korea.
- ^*Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
Correspondence to: Suk-Woong Kang, M.D. Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan 50612, Korea. Tel: +82-51-550-9396, Fax: +82-55-360-1098, Email: redmaniak@naver.com

Received July 20, 2018; Revised September 20, 2018; Accepted November 07, 2018.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study analyzed the results of the midclavicle fracture treatment using the minimally invasive percutaneous plate osteosynthesis (MIPO) technique in a retrospective manner.

Materials and Methods

Between March 2013 and March 2017, this study analyzed 40 patients who received MIPO surgery. Excluding 1 patient who underwent surgery on another body part injury, and 4 patients who were lost to follow-up over 1 year, 40 patients were analyzed for their operation time, bone union, functional American Shoulder and Elbow Surgeons score, scar lengths, pain relief (visual analogue scale), and complications.

Results

All patients over a 1 year of follow-up achieved bone union, and American Shoulder and Elbow Surgeons score 97.6 (94–100) on their shoulder functional scores. Their average operation time was 42.7 minutes, and the average scar length was 6.1 cm. Eighteen patients successfully received metal removal using the previous scar without additional incision. The clavicle length was similar in the normal and operated group.

Conclusion

Despite its small sample size, clavicle fixation using the MIPO technique can be considered an effective treatment because of its limited number of complications, such as nonunion and rotational angulations.

Keywords

Clavicle shaft fracture, Plate fixation, Minimally invasive percutaneous plate osteosynthesis

Figures

Fig. 1
(A) Preoperative radiography. (B) Plate was slid through the submuscular tunnel. (C) During operation, the anteroposterior view was checked to prevent fracture distraction. (D) Check axial view for preventing anteroposterior translation. (E) Temporary fixation by K-wire and screw fixation. (F) Postoperative radiography.

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Fig. 2
(A) Postoperative day one, failure of reduction. (B) Reoperation for adequate reduction. (C) Metal removal after 1 year.

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Tables

Table 1
Demographic Data and Injury Details of the 40 Patients

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Table 2
Surgical Results of the Patients

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Notes

Financial support:None.

Conflict of interests:None.

References

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Additional fixation using a metal plate with bioresorbable screws and wires for robinson type 2B clavicle fracture
Woo Jin shin, Young Woo Chung, Seon Do Kim, Ki-Yong An
Clinics in Shoulder and Elbow.2020; 23(4): 205. CrossRef

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Surgical Results of Minimally Invasive Percutaneous Plate Fixation in the Treatment of Clavicle Shaft Fracture

J Korean Fract Soc. 2019;32(1):21-26. Published online January 31, 2019

DOI: https://doi.org/10.12671/jkfs.2019.32.1.21

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