Universität zu Köln

Faymonville, Christoph, Libutzki, Pia Vanessa, Hackl, Michael ORCID: 0000-0002-6183-5621 and Mueller, Lars Peter (2015). Elastic intramedullary nailing in midshaft clavicle fractures. Perforation of the ESIN as a complication. Obere Extremitaet-Schulter-Ellenbogen-Hand, 10 (1). S. 55 - 61. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1862-6602

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Abstract

Background. The titanium elastic nail (TEN) in midshaft-clavicular fractures is an established alternative procedure to plate osteosynthesis. Typical complications are the over-extending medial end, lateral perforation, and telescoping. Methods. Since 1996, 233 patients have been evaluated: 31 % patients developed pain at the medial end of the TEN, but only 1 % of them required prompt shortening of the overextending TEN. In 5 % of the cases, telescoping was detected, whereby lateral perforation was found postoperatively in 2 % of patients. These complications were caused by incorrect classification of the fracture with inadequate stabilization of the two main fragments. In cases of shortening of the clavicle, painful pseudarthrosis or malunion, an operative procedure with locking contact plates was performed. Conclusion. In summary, the TEN is a safe and useful procedure compared to plate osteosynthesis in midshaft clavicular fractures of type A or B according to the OTA classification.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Faymonville, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Libutzki, Pia Vanessa UNSPECIFIED UNSPECIFIED UNSPECIFIED Hackl, Michael UNSPECIFIED orcid.org/0000-0002-6183-5621 UNSPECIFIED Mueller, Lars Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-411901
DOI:	10.1007/s11678-014-0284-y
Journal or Publication Title:	Obere Extremitaet-Schulter-Ellenbogen-Hand
Volume:	10
Number:	1
Page Range:	S. 55 - 61
Date:	2015
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1862-6602
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41190