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Mechanical failure of plate breakage after open reduction and plate fixation of displaced midshaft clavicle fracture – a possible new risk factor: a case report
BACKGROUND: Plate breakage is one form of construct failure after a clavicle fracture treated with an open reduction and plate fixation. A recent study evaluated construct failure after an open reduction and plate fixation and reported a construct failure rate of 6.9% of which 1.9% were related to b...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487008/ https://www.ncbi.nlm.nih.gov/pubmed/31029151 http://dx.doi.org/10.1186/s13256-019-2046-3 |
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author | Batash, Ron Debi, Ronen Grinberg, Dan Shema, Maayan Elbaz, Avi Benedict, Yeshaiau |
author_facet | Batash, Ron Debi, Ronen Grinberg, Dan Shema, Maayan Elbaz, Avi Benedict, Yeshaiau |
author_sort | Batash, Ron |
collection | PubMed |
description | BACKGROUND: Plate breakage is one form of construct failure after a clavicle fracture treated with an open reduction and plate fixation. A recent study evaluated construct failure after an open reduction and plate fixation and reported a construct failure rate of 6.9% of which 1.9% were related to broken plates. Plate breakage is rare, thus, there are insufficient data regarding risk factors, pathogenesis, or how to avoid it. CASE PRESENTATION: This case report presents an unusual case of a 35-year-old Caucasian man, 7 weeks after open reduction and internal plate fixation of a fracture in the middle third of his clavicle, who developed breakage of the implant. Surgery was advised, the implant was retrieved, the fracture was reduced, and a new bridging locking plate was implanted. CONCLUSIONS: In the current case it seems that the use of a bridging plate, the fundamental anatomical structure of the clavicle and the forces that are applied on it, the lack of discipline in complying with the postoperative functional restrictions, and an unclear “patient expectation” process were the main reasons for the failure. These aspects should be carefully considered and addressed in clavicle fractures. |
format | Online Article Text |
id | pubmed-6487008 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-64870082019-05-06 Mechanical failure of plate breakage after open reduction and plate fixation of displaced midshaft clavicle fracture – a possible new risk factor: a case report Batash, Ron Debi, Ronen Grinberg, Dan Shema, Maayan Elbaz, Avi Benedict, Yeshaiau J Med Case Rep Case Report BACKGROUND: Plate breakage is one form of construct failure after a clavicle fracture treated with an open reduction and plate fixation. A recent study evaluated construct failure after an open reduction and plate fixation and reported a construct failure rate of 6.9% of which 1.9% were related to broken plates. Plate breakage is rare, thus, there are insufficient data regarding risk factors, pathogenesis, or how to avoid it. CASE PRESENTATION: This case report presents an unusual case of a 35-year-old Caucasian man, 7 weeks after open reduction and internal plate fixation of a fracture in the middle third of his clavicle, who developed breakage of the implant. Surgery was advised, the implant was retrieved, the fracture was reduced, and a new bridging locking plate was implanted. CONCLUSIONS: In the current case it seems that the use of a bridging plate, the fundamental anatomical structure of the clavicle and the forces that are applied on it, the lack of discipline in complying with the postoperative functional restrictions, and an unclear “patient expectation” process were the main reasons for the failure. These aspects should be carefully considered and addressed in clavicle fractures. BioMed Central 2019-04-28 /pmc/articles/PMC6487008/ /pubmed/31029151 http://dx.doi.org/10.1186/s13256-019-2046-3 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Batash, Ron Debi, Ronen Grinberg, Dan Shema, Maayan Elbaz, Avi Benedict, Yeshaiau Mechanical failure of plate breakage after open reduction and plate fixation of displaced midshaft clavicle fracture – a possible new risk factor: a case report |
title | Mechanical failure of plate breakage after open reduction and plate fixation of displaced midshaft clavicle fracture – a possible new risk factor: a case report |
title_full | Mechanical failure of plate breakage after open reduction and plate fixation of displaced midshaft clavicle fracture – a possible new risk factor: a case report |
title_fullStr | Mechanical failure of plate breakage after open reduction and plate fixation of displaced midshaft clavicle fracture – a possible new risk factor: a case report |
title_full_unstemmed | Mechanical failure of plate breakage after open reduction and plate fixation of displaced midshaft clavicle fracture – a possible new risk factor: a case report |
title_short | Mechanical failure of plate breakage after open reduction and plate fixation of displaced midshaft clavicle fracture – a possible new risk factor: a case report |
title_sort | mechanical failure of plate breakage after open reduction and plate fixation of displaced midshaft clavicle fracture – a possible new risk factor: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487008/ https://www.ncbi.nlm.nih.gov/pubmed/31029151 http://dx.doi.org/10.1186/s13256-019-2046-3 |
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