Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults
Sherif, M., Mohamed, O., Hassan, M. (2021). Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults. EKB Journal Management System, 3(2), 1351-1358. doi: 10.21608/ijma.2021.54224.1227
Mahmoud Mohamed Sherif; Osman Abdellah Mohamed; Mohamed Abdalah Hassan. "Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults". EKB Journal Management System, 3, 2, 2021, 1351-1358. doi: 10.21608/ijma.2021.54224.1227
Sherif, M., Mohamed, O., Hassan, M. (2021). 'Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults', EKB Journal Management System, 3(2), pp. 1351-1358. doi: 10.21608/ijma.2021.54224.1227
Sherif, M., Mohamed, O., Hassan, M. Clinical Outcomes of Plate Fixation Compared with Non-operative Treatment of Displaced Mid-shaft Clavicular Fractures in Adults. EKB Journal Management System, 2021; 3(2): 1351-1358. doi: 10.21608/ijma.2021.54224.1227

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

International Journal of Medical Arts
Article 24, Volume 3, Issue 2, April 2021, Page 1351-1358  XML PDF (1.4 MB)
Document Type: Original Article
DOI: 10.21608/ijma.2021.54224.1227
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Authors
Mahmoud Mohamed Sherif email 1; Osman Abdellah Mohamed2; Mohamed Abdalah Hassanorcid 3
1Department of orthopedic Al-mahalla general hospital Ministry of health Egypt
2Department of orthopedic faculty of medicine Alazhar University Damitta Egypt
3Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt
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.
Keywords
Clavicle; Displaced; Midshaft Fracture; Conservative; Plate Fixation
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