File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Post-operative numbness and patient satisfaction following plate fixation of clavicular fractures

TitlePost-operative numbness and patient satisfaction following plate fixation of clavicular fractures
Authors
Issue Date2010
PublisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/injury
Citation
Injury, 2010, v. 41 n. 10, p. 1002-1005 How to Cite?
AbstractIntroduction and aim: Numbness across the shoulder and upper chest wall is a frequent complication following plate fixation of clavicular shaft fractures. This is usually attributed to damage to branches of the supraclavicular nerve caused by the surgical approach. We investigate whether the use of an incision perpendicular to the long axis of the clavicle (vertical incision) rather than one parallel to it (horizontal incision) is associated with reduced post-operative numbness and improved patient satisfaction. Methods: We retrospectively assessed a group of patients who underwent plate fixation of a fractured clavicle at our institution. Using a patient-completed questionnaire, we compared differences in numbness, scar satisfaction, pain, and overall satisfaction with the operation, between those who received a horizontal incision (n = 21) versus those treated using a vertical incision (n = 14). Results: The likelihood of experiencing post-operative numbness was less in the vertical incision group. Those who had undergone vertical incisions also reported a significantly reduced degree of numbness and significantly less awareness of the numbness with clothing and shoulder straps. There was no statistically significant difference between the groups in terms of pain and scar satisfaction. Patients who reported being most bothered by their numbness also tended to report the highest dissatisfaction with the operation. Conclusion: Vertical incisions for plate fixation of clavicular shaft fractures may be associated with reduced post-operative numbness and avoid some cases of patient dissatisfaction. Surgeons should consider using this approach in plate fixation of clavicle fractures. © 2010 Elsevier Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/185471
ISSN
2015 Impact Factor: 1.91
2015 SCImago Journal Rankings: 0.982
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWang, Ken_US
dc.contributor.authorDowrick, Aen_US
dc.contributor.authorChoi, Jen_US
dc.contributor.authorRahim, Ren_US
dc.contributor.authorEdwards, Een_US
dc.date.accessioned2013-07-30T07:35:28Z-
dc.date.available2013-07-30T07:35:28Z-
dc.date.issued2010en_US
dc.identifier.citationInjury, 2010, v. 41 n. 10, p. 1002-1005en_US
dc.identifier.issn0020-1383en_US
dc.identifier.urihttp://hdl.handle.net/10722/185471-
dc.description.abstractIntroduction and aim: Numbness across the shoulder and upper chest wall is a frequent complication following plate fixation of clavicular shaft fractures. This is usually attributed to damage to branches of the supraclavicular nerve caused by the surgical approach. We investigate whether the use of an incision perpendicular to the long axis of the clavicle (vertical incision) rather than one parallel to it (horizontal incision) is associated with reduced post-operative numbness and improved patient satisfaction. Methods: We retrospectively assessed a group of patients who underwent plate fixation of a fractured clavicle at our institution. Using a patient-completed questionnaire, we compared differences in numbness, scar satisfaction, pain, and overall satisfaction with the operation, between those who received a horizontal incision (n = 21) versus those treated using a vertical incision (n = 14). Results: The likelihood of experiencing post-operative numbness was less in the vertical incision group. Those who had undergone vertical incisions also reported a significantly reduced degree of numbness and significantly less awareness of the numbness with clothing and shoulder straps. There was no statistically significant difference between the groups in terms of pain and scar satisfaction. Patients who reported being most bothered by their numbness also tended to report the highest dissatisfaction with the operation. Conclusion: Vertical incisions for plate fixation of clavicular shaft fractures may be associated with reduced post-operative numbness and avoid some cases of patient dissatisfaction. Surgeons should consider using this approach in plate fixation of clavicle fractures. © 2010 Elsevier Ltd.en_US
dc.languageengen_US
dc.publisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/injuryen_US
dc.relation.ispartofInjuryen_US
dc.subject.meshBone Platesen_US
dc.subject.meshClavicle - Injuries - Innervationen_US
dc.subject.meshFemaleen_US
dc.subject.meshFracture Fixation, Internal - Adverse Effects - Methodsen_US
dc.subject.meshFractures, Bone - Surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshHypesthesia - Etiology - Prevention & Control - Surgeryen_US
dc.subject.meshMaleen_US
dc.subject.meshPatient Satisfactionen_US
dc.subject.meshRecovery Of Function - Physiologyen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshTreatment Outcomeen_US
dc.titlePost-operative numbness and patient satisfaction following plate fixation of clavicular fracturesen_US
dc.typeArticleen_US
dc.identifier.emailChoi, J: choyu977@hku.hken_US
dc.identifier.authorityChoi, J=rp01766en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.injury.2010.02.028en_US
dc.identifier.pmid20219192-
dc.identifier.scopuseid_2-s2.0-77956704521en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77956704521&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume41en_US
dc.identifier.issue10en_US
dc.identifier.spage1002en_US
dc.identifier.epage1005en_US
dc.identifier.isiWOS:000281587300004-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridWang, K=36483477500en_US
dc.identifier.scopusauthoridDowrick, A=8610100900en_US
dc.identifier.scopusauthoridChoi, J=7501395249en_US
dc.identifier.scopusauthoridRahim, R=26665030100en_US
dc.identifier.scopusauthoridEdwards, E=14068506200en_US

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats