Surgical treatment of middle third fracture clavicle in adults by pre-contoured locked plate | ||||
| Al-Azhar International Medical Journal | ||||
| Article 13, Volume 1, Issue 12, December 2020, Page 281-285 PDF (628.43 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aimj.2021.50376.1357 | ||||
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| Authors | ||||
Al-Hussein Mohamed Adham  1; Mahmoud Seddik Hassan2; Mohamed Abulsoud2
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| 1Orthopedic Surgery Department, Police Authority Hospitals, Cairo, Egypt. | ||||
| 2Orthopedic Surgery Department, Faculty of Medicine, Al-Azhar University,Cairo, Egypt . | ||||
| Abstract | ||||
| Background: The clavicle is one of the bones that are most commonly fractured in the body. In adults, clavicle fractures represent 5–10 % of all fractures and 35 % of shoulder girdle fractures. Although most clavicular fractures may be treated nonoperatively, there is still a debate about the best therapy option for displaced mid-shaft clavicle fracture. Aim of the Study: To investigate the results of surgical fixation of displaced middle-third fracture clavicle by the anatomical pre-contoured locked plate in young adults. Materials and methods: This research involved 20 adult patients with a recent middle-third clavicle fracture. Results were assessed after 1 year according to the Disabilities of the Arm, Shoulder, Hand score (DASH). Results: The average age of the patients was 37 years old (25 - 52 years), all of them were males, All the fractures achieved union at 9 weeks (8-14 weeks ) postoperatively with no cases of implant failure, The average DASH score became15.3, 18 patients had no disabilities (90%), 1 patient had a mild disability (5%), 1 patient had a moderate disability (5%). 18 patients (90%) returned to their work within 3 months postoperatively, with no cases of deep infection with 1 case of superficial infection. Conclusion: Surgical treatment of displaced middle-third clavicle fracture in young adults by pre-contoured locked plates is an optimum procedure resulting in excellent functional outcomes, with a quicker return to the normal activities. | ||||
| Keywords | ||||
| Clavicle; fracture; mid-shaft; operative; locked plate | ||||
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