Orthopedics Medical News about Clavicle Surgical Procedures, Operative fractures

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Surgical interventions for treating acute fractures or non-union of the middle third of the clavicle
Cochrane Reviews, 10/26/09

Lenza M et al. – Data from three small trials, each testing a different comparison, were included. Two trials had design features that carry a high risk of bias, limiting the strength of their findings. Low–contact dynamic compression plates appeared to be associated with significantly better upper–limb function throughout the year following surgery, earlier fracture union and return to work, and a reduced incidence of implant–associated symptoms when compared with a standard dynamic compression plate in 36 adults with symptomatic non–union of the middle third of the clavicle. One study (69 participants) compared the Knowles pin versus a plate for treating middle third clavicle fractures or non–union. Knowles pins appeared to be associated with lower pain levels and use of post–operative analgesics, reduced incidence of implant–associated symptoms, and shorter operation time and hospital stay. One study (133 participants) found that a three–dimensional technique for fixation with a reconstruction plate was associated with a significantly lower incidence of symptomatic delayed union than a standard superior position surgical approach. There is limited evidence, from single trials only, regarding the effectiveness of different methods of surgical fixation of fractures and non–union of the middle third of the clavicle.

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Anterior-inferior plating of middle-third fractures of the clavicle
Archives of Orthopaedic and Trauma Surgery, 11/12/09 Relevance Score: 88%

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Foot and Ankle Surgery, 10/22/09 Relevance Score: 86%

Incorrect Surgical Procedures Within and Outside of the Operating Room
Archives of Surgery, 11/17/09 Relevance Score: 82%

Do absorption and realistic distraction influence performance of component task surgical procedure
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Vertebroplasty in the management of traumatic burst fractures: A case series
Journal of Medical Imaging and Radiation Oncology (JMIRO), 10/05/09 Relevance Score: 80%