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Clinical outcome and operative cost comparison: Locked compression plate versus reconstruction plate in midshaft clavicle fractures

The aim of this study was to compare the clinical outcomes and operative cost of a locked compression plate (LCP) and a nonlocked reconstruction plate in the treatment of displaced midshaft clavicle fracture. Methods: From January 2013 till March 2018, a total of 55 patients with acute unilateral cl...

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Main Authors: Gan, Jin Tatt, Chandrasekaran, Sankara Kumar, Jusoh, Tuan Basyirudin Tuan
Format: Article
Published: Turkish Assoc Orthopaedics Traumatology 2020
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R Medicine
Online Access:http://eprints.um.edu.my/36429/
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spelling my.um.eprints.364292023-12-04T02:25:32Z http://eprints.um.edu.my/36429/ Clinical outcome and operative cost comparison: Locked compression plate versus reconstruction plate in midshaft clavicle fractures Gan, Jin Tatt Chandrasekaran, Sankara Kumar Jusoh, Tuan Basyirudin Tuan R Medicine The aim of this study was to compare the clinical outcomes and operative cost of a locked compression plate (LCP) and a nonlocked reconstruction plate in the treatment of displaced midshaft clavicle fracture. Methods: From January 2013 till March 2018, a total of 55 patients with acute unilateral closed midshaft clavicle fracture were treated with either a 3.5-mm pre-contoured LCP 32 patients; 25 men and 7 women; mean age: 35 years (range: 19-63 years)] or a 3.5-mm nonlocked reconstruction plate 23 patients; 20 men and 3 women; mean age: 31.4 years (range: 17-61 years)]. The clinical outcomes in terms of fracture union, Quick Disability of Arm, Shoulder and Hand (DASH) score, implant irritation, failure rate, and reoperation rate were evaluated retrospectively. The patient billing records were reviewed to obtain primary operation, reoperation, and total operative cost for midshaft clavicle fracture. These values were analyzed and converted from Malaysia Ringgit (RM) to United States Dollar (USD) at the exchange rate of RM 1 to USD 0.24. All patients were followed up for at least one-year duration. Results: The mean time to fracture union, implant irritation, implant failure, and reoperation rate showed no significant difference between the two groups of patients. The mean Quick DASH score was significantly better in the reconstruction plate group with 13 points compared with 28 points in the LCP group (p=0.003). In terms of total operative cost, the LCP group recorded a cost of USD 391 higher than the reconstruction plate group (p<0.001). Conclusion: The 3.5-mm reconstruction plate achieved not only satisfactory clinical outcomes but was also more cost-effective than the LCP in the treatment of displaced midshaft clavicle fractures. Turkish Assoc Orthopaedics Traumatology 2020-09 Article PeerReviewed Gan, Jin Tatt and Chandrasekaran, Sankara Kumar and Jusoh, Tuan Basyirudin Tuan (2020) Clinical outcome and operative cost comparison: Locked compression plate versus reconstruction plate in midshaft clavicle fractures. Acta Orthopaedica et Traumatologica Turcica, 54 (5). pp. 483-487. ISSN 1017-995X, DOI https://doi.org/10.5152/j.aott.2020.19219 <https://doi.org/10.5152/j.aott.2020.19219>. 10.5152/j.aott.2020.19219
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Gan, Jin Tatt
Chandrasekaran, Sankara Kumar
Jusoh, Tuan Basyirudin Tuan
Clinical outcome and operative cost comparison: Locked compression plate versus reconstruction plate in midshaft clavicle fractures
description The aim of this study was to compare the clinical outcomes and operative cost of a locked compression plate (LCP) and a nonlocked reconstruction plate in the treatment of displaced midshaft clavicle fracture. Methods: From January 2013 till March 2018, a total of 55 patients with acute unilateral closed midshaft clavicle fracture were treated with either a 3.5-mm pre-contoured LCP 32 patients; 25 men and 7 women; mean age: 35 years (range: 19-63 years)] or a 3.5-mm nonlocked reconstruction plate 23 patients; 20 men and 3 women; mean age: 31.4 years (range: 17-61 years)]. The clinical outcomes in terms of fracture union, Quick Disability of Arm, Shoulder and Hand (DASH) score, implant irritation, failure rate, and reoperation rate were evaluated retrospectively. The patient billing records were reviewed to obtain primary operation, reoperation, and total operative cost for midshaft clavicle fracture. These values were analyzed and converted from Malaysia Ringgit (RM) to United States Dollar (USD) at the exchange rate of RM 1 to USD 0.24. All patients were followed up for at least one-year duration. Results: The mean time to fracture union, implant irritation, implant failure, and reoperation rate showed no significant difference between the two groups of patients. The mean Quick DASH score was significantly better in the reconstruction plate group with 13 points compared with 28 points in the LCP group (p=0.003). In terms of total operative cost, the LCP group recorded a cost of USD 391 higher than the reconstruction plate group (p<0.001). Conclusion: The 3.5-mm reconstruction plate achieved not only satisfactory clinical outcomes but was also more cost-effective than the LCP in the treatment of displaced midshaft clavicle fractures.
format Article
author Gan, Jin Tatt
Chandrasekaran, Sankara Kumar
Jusoh, Tuan Basyirudin Tuan
author_facet Gan, Jin Tatt
Chandrasekaran, Sankara Kumar
Jusoh, Tuan Basyirudin Tuan
author_sort Gan, Jin Tatt
title Clinical outcome and operative cost comparison: Locked compression plate versus reconstruction plate in midshaft clavicle fractures
title_short Clinical outcome and operative cost comparison: Locked compression plate versus reconstruction plate in midshaft clavicle fractures
title_full Clinical outcome and operative cost comparison: Locked compression plate versus reconstruction plate in midshaft clavicle fractures
title_fullStr Clinical outcome and operative cost comparison: Locked compression plate versus reconstruction plate in midshaft clavicle fractures
title_full_unstemmed Clinical outcome and operative cost comparison: Locked compression plate versus reconstruction plate in midshaft clavicle fractures
title_sort clinical outcome and operative cost comparison: locked compression plate versus reconstruction plate in midshaft clavicle fractures
publisher Turkish Assoc Orthopaedics Traumatology
publishDate 2020
url http://eprints.um.edu.my/36429/
_version_ 1784586064844816384
score 13.211869

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