Abstract
Recent studies have shown a high prevalence of symptomatic malunion and nonunion after nonoperative treatment of displaced midshaft clavicle fractures. We sought to study the result of surgical treatment of displaced mid-shaft fracture of clavicle. Forty mid shaft clavicle fractures in adults, displaced with initial shortening of more than 15 mm, were treated with primary internal fixation with plates. The inclusion criteria were displacement, shortening of clavicle of more than 15 mm and/or impending skin penetration. The follow-up period varied from 6 months to 24 months. Fracture union occurred in all patients (average union time 8.5 weeks). Superficial infection developed in one patient and implant was a problem in one patient. The outcome was assessed by complications, constant score and patient satisfaction questionnaire. Constant scores were excellent in the study group and 96% of the patients were satisfied with the operation. Surgical treatment in displaced fractures of the clavicle in our study produces satisfactory results. Displaced, clavicle fracture, mid shaft and plating.
Highlights
Clavicle fractures account for 2.6% of all fractures 1, and 5% of adult fractures
There are many treatment methods suggested for clavicle fractures the majority are traditionally treated nonoperatively
Patient outcomes were assessed based on Constant score, complications, and patient satisfaction questionnaire
Summary
Clavicle fractures account for 2.6% of all fractures 1, and 5% of adult fractures. More than 75% of clavicle fractures occur in the midshaft region. Displaced and shortened fractures of the mid-third of the clavicle are common in the young, athletic populations and are frequently high-energy injuries sustained in road traffic accidents or sports injuries. It is this subgroup of patients, namely, those with displaced and shortened midshaft fractures of the clavicle that often requires operative fixation. It introduces the key question: does acute surgical intervention result in better patient outcomes and lower or comparable complication rates as does non-operative management? It introduces the key question: does acute surgical intervention result in better patient outcomes and lower or comparable complication rates as does non-operative management? Until recently, there has been no answer to this question
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
