The Comparison of Results of Treatment of Midshaft Clavicle Fracture between Operative Treatment with Plate and Non-Operative Treatment
Publish place: The Archives of Bone and Joint Surgery، Vol: 2، Issue: 3
Publish Year: 1393
نوع سند: مقاله ژورنالی
زبان: English
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JR_TABO-2-3_015
تاریخ نمایه سازی: 11 بهمن 1400
Abstract:
Background: Clavicle fractures are common and usually heal without complications. In this study, we evaluated the outcomes of non-operative versus operative management of displaced fractures. Methods: In a prospective clinical trial study, sixty-five patients with displaced clavicle mid-shaft fractures were nonrandomly divided in two treatment groups. The first group underwent non-operative treatment with figure of ۸ bandage (۳۰ patients), and the other underwent operative treatment with plate fixation (۳۵ patients). Figure of ۸ bandage and ۳.۵ millimeter DCP plate with at least six cortical screws were used in non-operative and operative groups respectively. We followed up all patients at weeks ۲, ۶ and ۱۲, and at month sixth. In addition to clinical examination and x-ray evaluation, we assessed satisfaction, DASH and Constant Shoulder Score for each individual. Results: The average durations of union were ۱۹.۳ and ۲۴.۴ weeks in operative and non-operative groups respectively (P=۰.۰۰۶). Satisfaction with operative treatment was ۷۴.۳% and with non-operative treatment was ۶۶.۷%, showing no significant difference (P=۰.۵۰۰). The non-union rate was ۵.۷% in the operative group and ۱۳.۳% in the non-operative group (P=۰.۵۱۸). A significant difference between the two groups in terms of DASH and Constant Shoulder Scores after the six-month follow-up was not found (P=۰.۳۵۲). Conclusions: According to our results, we recommend operative treatment in mid-shaft clavicle fractures only when there is a definitive indication.
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Authors
Mohsen Khorami
Department of Orthopedic Surgery, Golestan Hospital, Jonishapur University of MedicalSciences, Ahvaz, Iran.
Hamid Reza Arti
Golestan Hospital, Joundishapour University of Medical Sciences, Ahvaz, Iran
Mohammad Fakour
Imam Khomeini Hospital, Joundishapour University of Medical Sciences, Ahvaz, Iran
Hossein Mokarrami
Imam Khomeini Hospital, Joundishapour University of Medical Sciences, Ahvaz, Iran
Abdolhossein Mahdi Nasab
Imam Khomeini Hospital, Joundishapour University of Medical Sciences, Ahvaz, Iran
Farid Shahrivar
Imam Khomeini Hospital, Joundishapour University of Medical Sciences, Ahvaz, Iran
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