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Frequency and complications after operative fixation of clavicular fractures.
- Source :
-
Journal of shoulder and elbow surgery [J Shoulder Elbow Surg] 2016 May; Vol. 25 (5), pp. e125-9. Date of Electronic Publication: 2016 Feb 18. - Publication Year :
- 2016
-
Abstract
- Background: The purpose of this study was to analyze whether a recent trend in evidence supporting operative treatment of clavicular fractures is matched with an increase in operative fixation and complication rates in the United States.<br />Methods: The American Board of Orthopaedic Surgery database was reviewed for cases with Current Procedural Terminology (American Medical Association, Chicago, IL, USA) code 23515 (clavicle open reduction internal fixation [ORIF]) from 1999 to 2010. The procedure rate for each year and the number of procedures for each candidate performing clavicle ORIF were calculated to determine if a change had occurred in the frequency of ORIF for clavicular fractures. Complication and outcome data were also reviewed.<br />Results: In 2010 vs, 1999, there were statistically significant increases in the mean number of clavicle ORIF performed among all candidates (0.89 vs. 0.13; P < .0001) and in the mean number of clavicle ORIF per candidate performing clavicle ORIF (2.47 vs. 1.20, P < .0473). The difference in the percentage of part II candidates performing clavicle ORIF from the start to the end of the study (11% vs. 36%) was significant (P < .0001). There was a significant increase in the clavicle ORIF percentage of total cases (0.11% vs. 0.74%, P < .0001). The most common complication was hardware failure (4%).<br />Conclusion: The rate of ORIF of clavicular fractures has increased in candidates taking part II of the American Board of Orthopaedic Surgery, with a low complication rate. The increase in operative fixation during this interval may have been influenced by literature suggesting improved outcomes in patients treated with operative stabilization of their clavicular fracture.<br /> (Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Databases, Factual
Female
Fracture Fixation, Internal adverse effects
Humans
Internal Fixators adverse effects
Male
Open Fracture Reduction adverse effects
Postoperative Complications epidemiology
Postoperative Complications etiology
Prosthesis Failure
United States epidemiology
Clavicle injuries
Clavicle surgery
Fracture Fixation, Internal trends
Fractures, Bone surgery
Open Fracture Reduction trends
Subjects
Details
- Language :
- English
- ISSN :
- 1532-6500
- Volume :
- 25
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of shoulder and elbow surgery
- Publication Type :
- Academic Journal
- Accession number :
- 26900143
- Full Text :
- https://doi.org/10.1016/j.jse.2015.11.065