The Comparison of Results of Treatment of Midshaft Clavicle Fracture between Operative Treatment with Plate and Non-Operative Treatment

Khorami, Mohsen and Arti, Hamid Reza and Fakour, Mohammad and Mokarrami, Hossein and Mahdi Nasab, Abdolhossein and Shahrivar, Farid (2014) The Comparison of Results of Treatment of Midshaft Clavicle Fracture between Operative Treatment with Plate and Non-Operative Treatment. The Archives of Bone and Joint Surgery, 2 (3). pp. 210-214.

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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 8 bandage (30 patients), and the other underwent operative treatment with plate fixation (35 patients). Figure of 8 bandage and 3.5 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 2, 6 and 12, 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 19.3 and 24.4 weeks in operative and non-operative groups respectively (P=0.006). Satisfaction with operative treatment was 74.3 and with non-operative treatment was 66.7, showing no significant difference (P=0.500). The non-union rate was 5.7 in the operative group and 13.3 in the non-operative group (P=0.518). 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=0.352). Conclusions: According to our results, we recommend operative treatment in mid-shaft clavicle fractures only when there is a definitive indication.

Item Type: Article
Subjects: WE Musculoskeletal system
WO Surgery
Divisions: Journals > Archives of Bone & Joint Surgery
Depositing User: abjs abjs
Date Deposited: 28 Sep 2017 14:04
Last Modified: 28 Sep 2017 14:04
URI: http://eprints.mums.ac.ir/id/eprint/5701

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