Advertisement
Advertise here Publish your press releases here Sponsor BioPortfolio
Follow us on Twitter Sign up for daily news and research emails Contributors wanted

Non-Operative Versus Operative Treatment for High-Energy Midshaft Clavicle Fractures

09:47 EDT 25th July 2014 | BioPortfolio

Summary

Clavicle (collar bone) fractures account for about 33% of all fractures around the shoulder. Some surgeons suggest that surgical treatment is the best option, while others suggest that nonoperative care is the best treatment. There is no evidence to date that either option in superior. For this reason, we propose to conduct a prospective, randomized clinical trial of surgical versus non-surgical treatment of displaced high-energy clavicle fractures. This study will use both objective clinical and patient-based outcome measures. The purpose of this study is to see if there is a difference between clinical outcomes (healing rate, time to healing, time to return to work, Constant Score, complications), functional outcomes (DASH Score), and health related quality of life (SF-36) in nonoperative care and two types of surgical care for displaced fractures of the clavicular shaft in adults.

Included patients will be randomized into one of three groups: nonoperative care (Group N); surgical care using plates and screws (Group P); and surgical care using intramedullary pin put inside of the clavicle to stabilize it (Group I).

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Conditions

High Energy Midshaft Clavicle Fractures

Intervention

ORIF with Plate and Screws, Pin Fixation

Location

Greenville Hospital System Univeristy Medical Center
Greenville
South Carolina
United States
29605

Status

Enrolling by invitation

Source

Greenville Hospital System University Medical Center

Results (where available)

View Results

Links

Clinical Trials [312 Associated Clinical Trials listed on BioPortfolio]

Clinical Outcomes of the Trinica(R) Anterior Lumbar Plate: Fixed Screws vs. Variable Screws

Trinica Anterior Lumbar Plate (ALP) System is a commercially available, supplemental fusion device for use in the lumbar or sacral spine (L1-S1) to treat instability. The system provides...

Using Alternative Implants for the Surgical Treatment of Hip Fractures (The FAITH Study)

Each year, hip fracture, an injury that can impair independence and quality of life, occurs in about 280,000 Americans and 36,000 Canadians. The annual healthcare costs associated with thi...

Outcome Study of Complex Distal Radius Fractures

The purpose of this study is to collect information about how people do after different treatments of a broken wrist to see if one treatment has better results.

A Multicenter Randomized Trial Comparing Antiglide and Lateral Plate Fixation in Ankle Fractures

The role of operative fixation of unstable, displaced lateral malleolus fractures is well-established (Mayer, Mak, and Yablon). However, the optimal type of fixation remains the subject of...

Long Term Follow up of the DVR-A Locking Plate

The surgical treatment of wrist fractures (distal radius bone) has been changed by the introduction of a new plate design, the locking plate. This results in improved fixation and stabili...

PubMed Articles [16930 Associated PubMed Articles listed on BioPortfolio]

Thromboembolic complications 6 months after plate osteosynthesis of a mid-clavicular fracture.

A 32-year-old patient suffered from progredient intermittent claudication of the left arm 6 months after plate fixation of a midshaft clavicular fracture (OTA classification type A). The radiological...

Influence of plate-bone contact on cyclically loaded conically coupled locking plate failure.

The maintenance of friction between locking plates and bone is not essential, so that they can be applied with a gap between the plate and underlying bone. We hypothesised that the presence of a gap u...

Biomechanics of lateral lumbar interbody fusion constructs with lateral and posterior plate fixation.

Object Lumbar interbody fusion is indicated in the treatment of degenerative conditions. Laterally inserted interbody cages significantly decrease range of motion (ROM) compared with other cages. Supp...

Plating of metacarpal fractures with locked or nonlocked screws, a biomechanical study: how many cortices are really necessary?

Dorsal plate and screw fixation is a popular choice for metacarpal stabilization. The balance between construct stability and soft tissue dissection remains a surgical dilemma. Historically, six corti...

Open Reduction and Internal Fixation Compared with ORIF and Primary Subtalar Arthrodesis for Treatment of Sanders Type IV Calcaneal Fractures: A Randomized Multicenter* Trial.

To compare long term health outcome of Sanders type IV calcaneal fractures treated with open reduction and internal fixation (ORIF) versus ORIF plus primary subtalar arthrodesis (PSTA).

Medical and Biotech [MESH] Definitions

A method of producing a high-quality scan by digitizing and subtracting the images produced by high- and low-energy x-rays.

Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)

The region in the dorsal ECTODERM of a chordate embryo that gives rise to the future CENTRAL NERVOUS SYSTEM. Tissue in the neural plate is called the neuroectoderm, often used as a synonym of neural plate.

Devices used to hold tissue structures together for repair, reconstruction or to close wounds. They may consist of adsorbable or non-adsorbable, natural or synthetic materials. They include tissue adhesives, skin tape, sutures, buttons, staples, clips, screws, etc., each designed to conform to various tissue geometries.

Electron transfer through the cytochrome system liberating free energy which is transformed into high-energy phosphate bonds.

More From BioPortfolio on "Non-Operative Versus Operative Treatment for High-Energy Midshaft Clavicle Fractures"

Search BioPortfolio: