$clavicle fracture orthobullets$

Isolated implant removal is the most common type of reoperation in patients who have undergone operative treatment with an incidence of 8–50%. Regardless of the initial treatment method (operative or nonopeartive), a subsequent operation is still frequently required to achieve the best overall outcome. Routine plate removal in a female patient with a low BMI after bony union of a midshaft clavicle fracture is not recommended because of a high refracture rate.Īlthough there is still a debate between conservative treatment and surgical treatment of displaced midshaft clavicle fracture, operative treatment for displaced midshaft clavicle fractures is associated with a lower incidence of nonunion, symptomatic malunion, and improved short-term functional outcome and patient satisfaction compared with that of nonoperative treatment. There are no significant radiographic parameters associated with refracture. In a female patient with a lower BMI, the refracture rate was 29.8%. A multivariate analysis showed that female (adjusted odds ratio 4.74 95% CI 1.6–14.1) and body mass index (for every 1-unit decrease, aOR 1.25 95% CI 1.06–1.48) were risk factors for refracture. The overall refracture rate was 7.2%, and the mean interval between plate removal and refracture was 23.9 days. We analyzed patient demographics, interval between fixation and implant removal, fracture classification (AO/OTA, Robinson), fixation device, whether wires or interfragmentary screws were used, clavicular length, and bone diameter at the fracture site. The patients were then divided into two groups based on the presence of refracture ( n = 20) or without refracture ( n = 258). Their mean age was 40.1 ± 15.1 years, and mean interval from fixation to plate removal was 12.5 ± 7.5 months. We retrospectively reviewed the medical records of 278 patients that were diagnosed with a midshaft clavicle fracture (male 190 female 88) that had (1) undergone ORIF of the clavicle with plates and (2) received a second operation for removal of hardware after solid union of the fracture between 20. This study aims to determine the risk factors associated with refracture of the clavicle after hardware removal.

$clavicle fracture orthobullets$

Despite union of the fracture, a subsequent refracture might occur after removal of the implant which requires additional surgeries for fixation.

$clavicle fracture orthobullets$ $clavicle fracture orthobullets$

However, an additional operation for implant removal after union of the fracture is commonly performed due to a high incidence of hardware irritation. Open reduction and internal fixation (ORIF) with plates and screws is one of the treatment options for clavicle fractures.

$clavicle fracture orthobullets$

Clavicle fracture orthobullets