Comparative Analysis of Minimally Invasive Versus Open Reduction Plate Osteosynthesis Using a Superior Clavicle Plate...

Area of Science:

• Orthopedic surgery
• Traumatology
• Skeletal repair

Background:

• Clavicle shaft fractures are common injuries requiring surgical intervention.
• Treatment options include open reduction plate osteosynthesis and minimally invasive techniques.
• A superior clavicle plate with lateral extension is utilized in surgical approaches.

Purpose of the Study:

• To compare clinical and radiological outcomes of minimally invasive surgery versus open reduction plate osteosynthesis for clavicle shaft fractures.
• To evaluate the efficacy and safety of a minimally invasive technique using a superior clavicle plate with lateral extension.

Main Methods:

• Retrospective case-control study of 70 patients with displaced clavicle shaft fractures.
• Patients were divided into a minimally invasive group (n=20) and an open reduction group (n=41).
• Outcomes assessed included clinical scores, bone union time, radiological parameters, and complications like hypoesthesia.

Main Results:

• No significant differences in clinical outcomes or bone union rates between groups.
• Minimally invasive group showed shorter operation time, less blood loss, and lower hypoesthesia incidence.
• Minimally invasive group had longer time to radiologic union but similar clinical union time; one nonunion case occurred.

Conclusions:

• Minimally invasive technique provides comparable clinical outcomes and bone union rates to open reduction.
• Advantages include reduced operation time, blood loss, and lower risk of hypoesthesia.
• This technique represents a viable alternative for treating clavicle shaft fractures.