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155554

Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Surgery

Abstract

Background: Clavicle fractures are representing 2.6% of total body fractures. The common fracture is the midshaft fracture of the clavicle. The outcomes of non-operative treatment are not preferred nowadays, so the trend to surgical treatment of these fractures has grown.
The aim of the work: The current study aimed to compare the outcomes of conservative and operative treatment of displaced midshaft clavicular fractures with plate fixation to clarify the merits and possible disadvantages of each method.
Patients and Methods:Twenty patients as a convenient sample were included. These patients were subdivided into two groups, group I for conservative treatment and group II for operative treatment with plate fixation. All patients will be subjected to complete history taking, clinical, general &local examination, a standard anteroposterior view of the clavicle was done and follow up average 6 months.
Results:At the end of follow up period, according to Constant Shoulder Score (CSS), 11 patients had excellent results (CSS: < 11), 4 patients had good results (CSS: 11-20), 3 patients had fair results (CSS: 21-30), 2 patients had poor results (CSS: >30).  Pain VAS was significantly higher in group I compared with group II. There is a significant difference found between the groups as regard (outcome, pain VAS, the strength of abduction and the extent of internal rotation) P value < 0.05. There is no significant difference found between the groups as regard (socio-demographic data, comorbidities, fracture characteristics, fractures classification, degree of forward flexion, degree of lateral elevation and extent of lateral rotation) P value >0.05.
Conclusion: Operative treatment with plate fixation is better than conservative treatment in management of pain, high union rate, good functional outcomes and greater patients satisfactory after displaced mid shaft clavicular fractures.

DOI

10.21608/ijma.2021.54224.1227

Keywords

clavicle, displaced, midshaft fracture, Conservative, Plate fixation

Authors

First Name

Mahmoud

Last Name

Sherif

MiddleName

Mohamed

Affiliation

Department of orthopedic Al-mahalla general hospital Ministry of health Egypt

Email

mahmoudsherif5398@gmail.com

City

-

Orcid

-

First Name

Osman

Last Name

Mohamed

MiddleName

Abdellah

Affiliation

Department of orthopedic faculty of medicine Alazhar University Damitta Egypt

Email

docosman@domazhermedicine.edu.eg

City

-

Orcid

-

First Name

Mohamed

Last Name

Hassan

MiddleName

Abdalah

Affiliation

Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.mohamadabdallh@domazhermedicine.edu.eg

City

Cairo

Orcid

0000-0001-7674-0345

Volume

3

Article Issue

2

Related Issue

24821

Issue Date

2021-04-01

Receive Date

2020-12-20

Publish Date

2021-04-01

Page Start

1,351

Page End

1,358

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 2_Pages 1351-1358.pdf

PDF . 1.5MB

Link

https://ijma.journals.ekb.eg/article_155554.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=155554

Order

24

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults

Details

Type

Article

Created At

22 Jan 2023