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 | ||
| مقاله 17، دوره 2، شماره 3، آذر 2014، صفحه 210-214 اصل مقاله (343.45 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2014.3351 | ||
| نویسندگان | ||
| Mohsen Khorami* 1؛ Hamid Reza Arti2؛ Mohammad Fakour3؛ Hossein Mokarrami3؛ Abdolhossein Mahdi Nasab3؛ Farid Shahrivar3 | ||
| 1Department of Orthopedic Surgery, Golestan Hospital, Jonishapur University of MedicalSciences, Ahvaz, Iran. | ||
| 2Golestan Hospital, Joundishapour University of Medical Sciences, Ahvaz, Iran | ||
| 3Imam Khomeini Hospital, Joundishapour University of Medical Sciences, Ahvaz, Iran | ||
| چکیده | ||
| 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. | ||
| کلیدواژهها | ||
| Clavicle؛ Constant Shoulder Score؛ DASH score؛ Internal Fixation؛ Non-operative management | ||
| مراجع | ||
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