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

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 c...

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Autores principales:	Mahmoud Sherif, Osman Mohamed, Mohamed Hassan
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	clavicle displaced midshaft fracture conservative plate fixation Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/57499c88be384efe8184295c2b75572f
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spelling	oai:doaj.org-article:57499c88be384efe8184295c2b75572f2021-12-02T14:44:39ZClinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults2636-41742682-378010.21608/ijma.2021.54224.1227https://doaj.org/article/57499c88be384efe8184295c2b75572f2021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_155554_e51ec41fe068269da4f978349637fa49.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Mahmoud SherifOsman MohamedMohamed HassanAl-Azhar University, Faculty of Medicine (Damietta)articleclavicledisplacedmidshaft fractureconservativeplate fixationMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1351-1358 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	clavicle displaced midshaft fracture conservative plate fixation Medicine (General) R5-920
spellingShingle	clavicle displaced midshaft fracture conservative plate fixation Medicine (General) R5-920 Mahmoud Sherif Osman Mohamed Mohamed Hassan Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults
description	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.
format	article
author	Mahmoud Sherif Osman Mohamed Mohamed Hassan
author_facet	Mahmoud Sherif Osman Mohamed Mohamed Hassan
author_sort	Mahmoud Sherif
title	Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults
title_short	Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults
title_full	Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults
title_fullStr	Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults
title_full_unstemmed	Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults
title_sort	clinical outcomes of plate fixation compared with non-operative treatment of displaced mid-shaft clavicular fractures in adults
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/57499c88be384efe8184295c2b75572f
work_keys_str_mv	AT mahmoudsherif clinicaloutcomesofplatefixationcomparedwithnonoperativetreatmentofdisplacedmidshaftclavicularfracturesinadults AT osmanmohamed clinicaloutcomesofplatefixationcomparedwithnonoperativetreatmentofdisplacedmidshaftclavicularfracturesinadults AT mohamedhassan clinicaloutcomesofplatefixationcomparedwithnonoperativetreatmentofdisplacedmidshaftclavicularfracturesinadults
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Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults

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