A method of surgical treatment of midshaft clavicular fractures and a compression interlocking nail for osteosyn-thesis of the clavicle were developed. Strength characteristics of various bone−implant−bone systems in osteosyn-thesis of midshaft clavicular fractures were compared. It was shown that none of the tested fixation techniques provides stability under conditions of axial loading comparable to that of an intact clavicle. The developed design can be recommended as a method of choice for osteosyn-thesis of midshaft clavicular fractures, as it demonstrated strength characteristics comparable to those of other systems.
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Airapetov, G. A., Zagorodnii, N. V., Volna, A. A., Vorotnikov, A. A., and Panin, M. A., “Medical care management for patients with midshaft clavicular fractures: Current state of the problem of conservative and surgical treatment and its possible solutions,” Med. Vestn. Sev. Kavkaza, 8, No. 2, 42-44 (2013).
Zagorodnii, N. V., Airapetov, G. A., Volna, A. A., and Grigor’ev, V. V., “Anatomical substantiation of a new access point for clavicular osteosynthesis,” in: Proc. Congress Traumatology and Orthopedics in the Capital City: Present and Future, May 14-16, 2012 (Moscow), p. 48.
Labronici, P. J., Santos Filho, F. C. D., Reis, T. B., Pires, R. E. S., Junior, and A. F. M., Kojima, K. E., “Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?,” Rev. Bras. Ortop., 52, No. 4, 410-416 (2017).
Ahrens, P. M., Garlick, N. I., Barber, J., and Tims, E. M., “The clavicle trial: A multicenter randomized controlled trial comparing operative with nonoperative treatment of displaced midshaft clavicle fractures,” J. Bone Joint Surg. Am., 99, No. 16, 1345-1354 (2017).
Martel’, I. I. and Darvin, E. O., “Treatment of closed clavicular fractures by various osteosynthesis techniques,” Gen. Ortoped., No. 4, 5_8 (2011).
Skoroglyadov, A. V., Ivkov, A. V., and Shneiderov, M. V., “Intramedullary clavicular osteosynthesis,” Vestn. RGMU, No. 3, 22-25 (2013).
Beidik, O. V., Tonin, M. S., Levchenko, K. K., Karnaev, Kh. S., Nemolyaev, S. A., and Litvak, M. B., “Biomechanical computer simulation of osteosynthesis techniques,” Gen. Ortoped., No. 4, 89 (2007).
Shchurov, V. A. and Darvin, E. O., “Dynamics of the functional state of patients treated for a clavicular fracture by trans-osseous osteosynthesis,” Travmatol. Ortoped. Ross., No. 1, 87-92 (2013).
Fuglesang, H. F-S., Flugsrud, G. B., Randsborg, P. H., Oord, P., Benth, J. Š., and Utvеg, S. E., “Plate fixation versus intramedullary nailing of completely displaced midshaft fractures of the clavicle: A prospective randomised controlled trial,” Bone Joint J., 99-B, No. 8, 1095-1101 (2017).
Langenhan, R., Reimers, N., and Probst, A., “Intramedullary stabilisation of displaced midshaft clavicular fractures: Does the fracture pattern (simple vs. complex) influence the anatomic and functional result,” Z. Orthop. Unfall., 152, No. 6, 588-595 (2014).
Fritz, E. M., van der Meijden, O. A., Hussain, Z. B., Pogorzelski, J., and Millett, P. J., “Intramedullary fixation of midshaft clavicle fractures,” J. Orthop. Trauma, 31, No. 3, S42-S44 (2017).
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Translated from Meditsinskaya Tekhnika, Vol. 53, No. 2, Mar.-Apr., 2019, pp. 43-46.
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Minasov, B.S., Yakupov, S.F., Yakupov, R.R. et al. Strength Characteristics of the Bone−Implant−Bone System in Midshaft Clavicular Fracture Osteosynthesis. Biomed Eng 53, 137–141 (2019). https://doi.org/10.1007/s10527-019-09894-0
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DOI: https://doi.org/10.1007/s10527-019-09894-0