Abstract
This prospective, randomized trial compared treatment with Knowles pins and plates in 62 elderly patients (>50 years) with midclavicular fractures. The clinical outcomes were evaluated at 30 months postoperatively. The mean shoulder score of the Knowles pinning was 85 points and the plating was 84 points (P=.7). Knowles pinning requires significantly shorter operative time (P<.001), smaller wound size (P<.001), shorter hospital stay P=.03), less meperidine use (P=.02), lower complication rate (P=0.04), and less symptomatic hardware (P=.015). If surgery of mid-third clavicular fractures is indicated, fixation with a Knowles pin has more advantages than plate fixation in elderly patients.
Publication types
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Randomized Controlled Trial
MeSH terms
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Acetaminophen / therapeutic use
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Aged
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Aged, 80 and over
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Analgesics, Non-Narcotic / therapeutic use
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Analgesics, Opioid / therapeutic use
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Bone Nails*
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Bone Plates*
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Clavicle / injuries
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Clavicle / surgery*
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Drug Utilization / statistics & numerical data
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Female
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Fracture Fixation, Internal / adverse effects
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Fracture Fixation, Internal / methods*
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Fracture Healing
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Fractures, Bone / surgery*
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Humans
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Length of Stay / statistics & numerical data
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Male
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Meperidine / therapeutic use
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Middle Aged
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Pain, Postoperative / drug therapy
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Prospective Studies
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Time Factors
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Treatment Outcome
Substances
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Analgesics, Non-Narcotic
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Analgesics, Opioid
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Acetaminophen
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Meperidine