Corrective Osteotomy for Symptomatic Clavicle Malunion Using Patient-specific Osteotomy and Reduction Guides
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Authors
Haefeli, Mathias
Author (Corporation)
Publication date
09/2017
Typ of student thesis
Course of study
Type
01A - Journal article
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Editor (Corporation)
Supervisor
Parent work
Techniques in Hand & Upper Extremity Surgery
Special issue
DOI of the original publication
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Series number
Volume
Issue / Number
Pages / Duration
91-100
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Publisher / Publishing institution
Lippincott Williams & Wilkins
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Abstract
Midshaft clavicular fractures are often treated nonoperatively with good reported clinical outcome in a majority of patients. However, malunion with shortening of the affected clavicle is not uncommon. Shortening of the clavicle has been shown to affect shoulder strength and kinematics with alteration of scapular position. Whereas the exact clinical impact of these factors is unknown, the deformity may lead to cosmetic and functional impairment as for example pain with weight-bearing on the shoulder girdle. Other reported complications of clavicular malunion include thoracic outlet syndrome, subclavicular vein thrombosis, and axillary plexus compression. Corrective osteotomy has therefore been recommended for symptomatic clavicular malunions, generally using plain x-rays for planning the necessary elongation. Particularly in malunited multifragmentary fractures it may be difficult to exactly determine the plane of osteotomy intraoperatively to restore the precise anatomic shape of the clavicle. We present a technique for corrective osteotomy using preoperative computer planning and 3-dimensional printed patient-specific intraoperative osteotomy and reduction guides based on the healthy contralateral clavicle.
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ISBN
ISSN
1531-6572
1089-3393
1089-3393
Language
English
Created during FHNW affiliation
Yes
Strategic action fields FHNW
Publication status
Published
Review
Peer review of the complete publication
Open access category
License
Citation
Haefeli, M. (2017). Corrective Osteotomy for Symptomatic Clavicle Malunion Using Patient-specific Osteotomy and Reduction Guides. Techniques in Hand & Upper Extremity Surgery, 91–100. https://doi.org/10.1097/BTH.0000000000000161