Universität zu Köln

Schiffer, Gereon, Faymonville, Christoph, Skouras, Emmanouil, Andermahr, Jonas and Jubel, Axel ORCID: 0000-0003-4402-4816 (2010). Midclavicular Fracture: Not Just a Trivial Injury Current Treatment Options. Dtsch. Arztebl. Int., 107 (41). S. 711 - 719. COLOGNE: DEUTSCHER AERZTE-VERLAG GMBH. ISSN 1866-0452

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Abstract

Background: Conservative treatment was long recommended for midclavicular fractures because of the excellent results that were reported in the 1960's and 70's. Recently, however, the rucksack bandage has received competition from surgical treatment. The spectrum of operations ranges from classic plate osteosynthesis to intramedullary techniques and angle-stable implants. Methods: We present and evaluate the current treatment options on the basis of a selective review of the literature. Results: Recent studies have confirmed some long-held concepts and refuted others. The risk of non-union after conservative treatment was previously reported as 1% to 2% but has turned out to be much higher in selected subgroups such as in patients with severe displacement, female patients, and patients of advanced age. Furthermore, new implants and techniques have made surgery safer and more likely to result in bony union. Conclusion: In any case of midclavicular fracture, the type of fracture should be precisely analyzed and an individual treatment strategy should be developed in view of the patient's particular situation. Current studies show with a high level of evidence (level 1) that patients with dislocated fractures benefit from surgery.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schiffer, Gereon UNSPECIFIED UNSPECIFIED UNSPECIFIED Faymonville, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Skouras, Emmanouil UNSPECIFIED UNSPECIFIED UNSPECIFIED Andermahr, Jonas UNSPECIFIED UNSPECIFIED UNSPECIFIED Jubel, Axel UNSPECIFIED orcid.org/0000-0003-4402-4816 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-494244
DOI:	10.3238/arztebl.2010.0711
Journal or Publication Title:	Dtsch. Arztebl. Int.
Volume:	107
Number:	41
Page Range:	S. 711 - 719
Date:	2010
Publisher:	DEUTSCHER AERZTE-VERLAG GMBH
Place of Publication:	COLOGNE
ISSN:	1866-0452
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NONOPERATIVE TREATMENT; CLAVICULAR FRACTURE; RUCKSACK BANDAGE; NONUNION; CLASSIFICATION; EPIDEMIOLOGY; ADULTS; RISK Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/49424