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Analyse der Passgenauigkeit fünf anatomisch vorgeformter Klavikulaplattensysteme

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Analyse der Passgenauigkeit fünf anatomisch vorgeformter Klavikulaplattensysteme. / Oppermann, Johannes; Ettmann, Linda; Meyer, Carolin; Ries, Christian; Stein, Gregor; Spies, Christian Karl; Müller, Lars Peter; Faymonville, Christoph.

In: UNFALLCHIRURG, Vol. 121, No. 6, 06.2018, p. 475-482.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Oppermann, J, Ettmann, L, Meyer, C, Ries, C, Stein, G, Spies, CK, Müller, LP & Faymonville, C 2018, 'Analyse der Passgenauigkeit fünf anatomisch vorgeformter Klavikulaplattensysteme', UNFALLCHIRURG, vol. 121, no. 6, pp. 475-482. https://doi.org/10.1007/s00113-017-0433-z

APA

Oppermann, J., Ettmann, L., Meyer, C., Ries, C., Stein, G., Spies, C. K., Müller, L. P., & Faymonville, C. (2018). Analyse der Passgenauigkeit fünf anatomisch vorgeformter Klavikulaplattensysteme. UNFALLCHIRURG, 121(6), 475-482. https://doi.org/10.1007/s00113-017-0433-z

Vancouver

Oppermann J, Ettmann L, Meyer C, Ries C, Stein G, Spies CK et al. Analyse der Passgenauigkeit fünf anatomisch vorgeformter Klavikulaplattensysteme. UNFALLCHIRURG. 2018 Jun;121(6):475-482. https://doi.org/10.1007/s00113-017-0433-z

Bibtex

@article{462b7aa10b924b4e9689f26291598958,
title = "Analyse der Passgenauigkeit f{\"u}nf anatomisch vorgeformter Klavikulaplattensysteme",
abstract = "BACKGROUND: A common method in surgical treatment of midshaft clavicular fractures is the clavicle plating system. In addition to traditional osteosynthetic devices, anatomically preformed plate systems also exist. Advantages are described in greater accuracy of fit and less irritation of surrounding soft tissues. The purpose of this study was to compare the anatomical fit of five different precontoured clavicle plating systems.MATERIAL AND METHODS: The anatomical fit of five different types of anatomical precontoured clavicle plates, 3 times VariaxSystem{\textregistered} (Stryker, Kalamazoo, MI), Meves{\textregistered} Plate (Ulrich medical Ulm, Germany) and LCP clavicle plate (Synthes, Bettlach, Switzerland) were investigated in 20 embalmed human cadaveric clavicles. An imprint of the space between the well-positioned plate and the clavicle was obtained using a silicone mass and the silicone imprint was digitally measured. Additionally, the anatomical fit was evaluated by three investigators following a standardized protocol (+2 to -2 points at lateral, midshaft and medial clavicle portions).RESULTS: The first three ranks went to the Stryker Variax-plates. They showed the least distance (Stryker 628027: 7‑hole 1.44 mm, low curvature 0.93 mm-2.36 mm, 2. Stryker 628028: 8‑hole low curvature 1.68 mm, 1.03 mm-2.4 mm and 3. Stryker 628128: 8‑hole high curvature 1.87 mm, range 1.09 mm-3.1 mm) The evaluation of the anatomical fit by the investigators was in agreement with the measurement results.CONCLUSION: Although there was no complete congruency between the plates and the clavicle, all clavicle plates investigated in this study presented a reasonable anatomical shape. The 7‑hole VariAx Stryker plate with slight curvature showed the best anatomical fit. A low profile and optimized anatomical precontouring can minimize irritation of the surrounding soft tissues and should be considered in plate design and implant choice.",
keywords = "Bone Plates, Clavicle/injuries, Fracture Fixation, Internal, Fractures, Bone/surgery, Germany, Humans, Switzerland",
author = "Johannes Oppermann and Linda Ettmann and Carolin Meyer and Christian Ries and Gregor Stein and Spies, {Christian Karl} and M{\"u}ller, {Lars Peter} and Christoph Faymonville",
year = "2018",
month = jun,
doi = "10.1007/s00113-017-0433-z",
language = "Deutsch",
volume = "121",
pages = "475--482",
journal = "UNFALLCHIRURGIE",
issn = "0177-5537",
publisher = "Springer",
number = "6",

}

RIS

TY - JOUR

T1 - Analyse der Passgenauigkeit fünf anatomisch vorgeformter Klavikulaplattensysteme

AU - Oppermann, Johannes

AU - Ettmann, Linda

AU - Meyer, Carolin

AU - Ries, Christian

AU - Stein, Gregor

AU - Spies, Christian Karl

AU - Müller, Lars Peter

AU - Faymonville, Christoph

PY - 2018/6

Y1 - 2018/6

N2 - BACKGROUND: A common method in surgical treatment of midshaft clavicular fractures is the clavicle plating system. In addition to traditional osteosynthetic devices, anatomically preformed plate systems also exist. Advantages are described in greater accuracy of fit and less irritation of surrounding soft tissues. The purpose of this study was to compare the anatomical fit of five different precontoured clavicle plating systems.MATERIAL AND METHODS: The anatomical fit of five different types of anatomical precontoured clavicle plates, 3 times VariaxSystem® (Stryker, Kalamazoo, MI), Meves® Plate (Ulrich medical Ulm, Germany) and LCP clavicle plate (Synthes, Bettlach, Switzerland) were investigated in 20 embalmed human cadaveric clavicles. An imprint of the space between the well-positioned plate and the clavicle was obtained using a silicone mass and the silicone imprint was digitally measured. Additionally, the anatomical fit was evaluated by three investigators following a standardized protocol (+2 to -2 points at lateral, midshaft and medial clavicle portions).RESULTS: The first three ranks went to the Stryker Variax-plates. They showed the least distance (Stryker 628027: 7‑hole 1.44 mm, low curvature 0.93 mm-2.36 mm, 2. Stryker 628028: 8‑hole low curvature 1.68 mm, 1.03 mm-2.4 mm and 3. Stryker 628128: 8‑hole high curvature 1.87 mm, range 1.09 mm-3.1 mm) The evaluation of the anatomical fit by the investigators was in agreement with the measurement results.CONCLUSION: Although there was no complete congruency between the plates and the clavicle, all clavicle plates investigated in this study presented a reasonable anatomical shape. The 7‑hole VariAx Stryker plate with slight curvature showed the best anatomical fit. A low profile and optimized anatomical precontouring can minimize irritation of the surrounding soft tissues and should be considered in plate design and implant choice.

AB - BACKGROUND: A common method in surgical treatment of midshaft clavicular fractures is the clavicle plating system. In addition to traditional osteosynthetic devices, anatomically preformed plate systems also exist. Advantages are described in greater accuracy of fit and less irritation of surrounding soft tissues. The purpose of this study was to compare the anatomical fit of five different precontoured clavicle plating systems.MATERIAL AND METHODS: The anatomical fit of five different types of anatomical precontoured clavicle plates, 3 times VariaxSystem® (Stryker, Kalamazoo, MI), Meves® Plate (Ulrich medical Ulm, Germany) and LCP clavicle plate (Synthes, Bettlach, Switzerland) were investigated in 20 embalmed human cadaveric clavicles. An imprint of the space between the well-positioned plate and the clavicle was obtained using a silicone mass and the silicone imprint was digitally measured. Additionally, the anatomical fit was evaluated by three investigators following a standardized protocol (+2 to -2 points at lateral, midshaft and medial clavicle portions).RESULTS: The first three ranks went to the Stryker Variax-plates. They showed the least distance (Stryker 628027: 7‑hole 1.44 mm, low curvature 0.93 mm-2.36 mm, 2. Stryker 628028: 8‑hole low curvature 1.68 mm, 1.03 mm-2.4 mm and 3. Stryker 628128: 8‑hole high curvature 1.87 mm, range 1.09 mm-3.1 mm) The evaluation of the anatomical fit by the investigators was in agreement with the measurement results.CONCLUSION: Although there was no complete congruency between the plates and the clavicle, all clavicle plates investigated in this study presented a reasonable anatomical shape. The 7‑hole VariAx Stryker plate with slight curvature showed the best anatomical fit. A low profile and optimized anatomical precontouring can minimize irritation of the surrounding soft tissues and should be considered in plate design and implant choice.

KW - Bone Plates

KW - Clavicle/injuries

KW - Fracture Fixation, Internal

KW - Fractures, Bone/surgery

KW - Germany

KW - Humans

KW - Switzerland

U2 - 10.1007/s00113-017-0433-z

DO - 10.1007/s00113-017-0433-z

M3 - SCORING: Zeitschriftenaufsatz

C2 - 29098302

VL - 121

SP - 475

EP - 482

JO - UNFALLCHIRURGIE

JF - UNFALLCHIRURGIE

SN - 0177-5537

IS - 6

ER -