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Clavicle Fracture clinical trials

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NCT ID: NCT06395363 Completed - Clavicle Fracture Clinical Trials

Evaluation of the Functional Outcomes of Surgical Treatment in Displaced, Closed, and Isolated Distal Clavicle Fractures in Adults

clavicle_fruc
Start date: August 1, 2019
Phase:
Study type: Observational

Clavicle fractures are common among young people, generally as a consequence of car accidents, bike falls, and contact sports injuries. 15-20% of all clavicle fractures involve the lateral end of the bone. Thus, the distal clavicle fractures, in particular, have a high nonunion rate ranging from 21-33% when treated non-operatively, underscoring the usual advice for operative treatment. While significant research has been conducted on clavicle fractures and their treatment options, no definitive guidelines or optimal approaches have been established. Hence, this study aimed at assessing the clinical and radiological results of the two highly used surgical techniques, the Tension Band Wiring (TBW) and Hook plate ones, in addition to investigating the associated functional recovery and outcomes.

NCT ID: NCT06269562 Completed - Postoperative Pain Clinical Trials

SPSIPB and CPB on Clavicle Surgeries

Start date: June 20, 2023
Phase: N/A
Study type: Interventional

Clavicular fractures represent a common occurrence often necessitating effective pain management strategies, particularly following surgical interventions. This study involved a cohort of five patients who underwent clavicular fracture surgery under general anesthesia. A novel analgesic approach combining two distinct nerve block techniques-Serratus Posterior Superior Intercostal Plane Block (SPSIPB) and Clavipectoral Plane Block (CPB)-was employed for postoperative pain control. The procedural methodology encompassed the administration of SPSIPB preceding anesthesia induction, followed by CPB subsequent to induction. SPSIPB targeted specific neural regions responsible for sensory blockade within the innervation of the clavicular skin, whereas CPB focused on the clavipectoral fascia. Standard anesthesia protocols were utilized, and postoperative pain levels were evaluated using Numeric Rating Scores (NRS).

NCT ID: NCT06050473 Completed - Clavicle Fracture Clinical Trials

Supraclavicular Nerve During Clavicle ORIF

Start date: November 2, 2016
Phase: N/A
Study type: Interventional

Clavicle fractures are a common orthopedic injury and make up 2.6%-5% of all fractures. Despite the benefits of operative management, post-operative chest wall paresthesia is a well-known complication among surgeons and is well described in the literature. Studies reporting on the natural history of post-operative paresthesia report an incidence of chest wall numbness anywhere from 10-80% and this is attributed to iatrogenic injury of the branches of the supraclavicular nerve that provide sensation over the clavicle, anteromedial shoulder and proximal chest. While this may seem like an easy complication to avoid, anatomic studies give insight into the complex and unpredictable branching of the supraclavicular nerve. The aim of this study was to compare the area (cm2) and change in size over time of post-operative paresthesia (includes hypesthesia and dysesthesia) following ORIF of displaced clavicle fractures between nerve-sacrificing and nerve-preserving procedures.

NCT ID: NCT05268874 Completed - Clavicle Fracture Clinical Trials

The Effectiveness of Clavipectoral Fascia Plane Block for Clavicle Surgery

Start date: March 18, 2022
Phase: N/A
Study type: Interventional

Clavipectoral fascia plane block (CPB). CPB was defined by Valdes in 2017 firstly. It may be used for postoperative analgesia after clavicle surgery. In the literature, data about CPB is so limited, however it seems a good option for pain management after clavicle fracture. The aim of this study is to evaluate the efficacy of the ultrasound-guided CPB for postoperative analgesia management and patient satisfaction in patients underwent clavicle surgery.

NCT ID: NCT04343118 Completed - Clavicle Fracture Clinical Trials

Benefit of Surgical Hardware Removal Following Clavicle Fracture

Start date: January 1, 2015
Phase:
Study type: Observational

Little is known about the beneficial aspects of elective implant removal following plate osteosynthesis of displaced clavicle fractures.

NCT ID: NCT03577678 Completed - Bone Fracture Clinical Trials

New Prosthesis for Comminuted Fracture of Lateral Half of Clavicle

Prosthesis
Start date: August 5, 2018
Phase: N/A
Study type: Interventional

This study to evaluate the efficacy of new prosthesis in treatment of comminuted fracture of lateral half of the clavicle in adult female.

NCT ID: NCT03402269 Completed - Adolescent Clinical Trials

Treatment of Pediatric Mid-shaft Clavicle Fractures: A Prospective, Observational Study

Start date: January 10, 2018
Phase:
Study type: Observational

Clavicle fractures in children are common. Typical treatment includes nonoperative treatment with a sling. Operative treatment is usually limited to open, unstable, fractures with either epidermal risks or neurovascular compromise. Orthopaedic literature has many studies that report the need for additional research for this prevalent fracture. This is an observational study evaluating the functional and patient reported outcomes of displaced clavicle fractures in adolescents. The results from this study will help the orthopedist understand the expected outcomes for a given pediatric patient with a clavicle fracture.

NCT ID: NCT02769117 Completed - Clavicle Fracture Clinical Trials

Bone Ultrasound to Access Fracture Healing

Start date: May 2016
Phase: N/A
Study type: Interventional

The purpose of this study is to evaluate sequential fracture healing with radius/ulna fractures or clavicle fractures and compare ultrasound to radiographs.

NCT ID: NCT01410032 Completed - Clavicle Fracture Clinical Trials

Reconstruction Plate Compared With Flexible Intramedullary Nailing for Midshaft Clavicular Fractures

Start date: July 2010
Phase: Phase 2
Study type: Interventional

The purpose of this study is to compare the clinical and radiographic results of patients with midshaft clavicular fractures treated with plates or intramedullary flexible nails fixation.

NCT ID: NCT01405703 Completed - Clavicle Fracture Clinical Trials

Percutaneous Versus Open Plate Fixation of Diaphyseal Clavicle Fractures

Start date: July 2011
Phase: N/A
Study type: Observational

This is a prospective, level II evidence comparison between two cohorts. This study is designed to compare the percutaneous versus open approach for plate fixation of diaphyseal clavicle fractures. This study includes questionnaires and measurements that will collect data on incision-related numbness, union rates, overall outcomes, complication rates of the two methods, infection rates, and overall satisfaction. The surgical procedure, all radiographs and follow-up visits to a minimum of one year are the principle investigators (PI's) standard of care for this injury. Measurements and questionnaires are related to the study.