Khorami, Mohsen, Arti, Hamid Reza, Fakour, Mohammad, Mokarrami, Hossein, Mahdi Nasab, Abdolhossein, Shahrivar, Farid. (1393). The Comparison of Results of Treatment of Midshaft Clavicle Fracture between Operative Treatment with Plate and Non-Operative Treatment. , 2(3), 210-214. doi: 10.22038/abjs.2014.3351
Mohsen Khorami; Hamid Reza Arti; Mohammad Fakour; Hossein Mokarrami; Abdolhossein Mahdi Nasab; Farid Shahrivar. "The Comparison of Results of Treatment of Midshaft Clavicle Fracture between Operative Treatment with Plate and Non-Operative Treatment". , 2, 3, 1393, 210-214. doi: 10.22038/abjs.2014.3351
Khorami, Mohsen, Arti, Hamid Reza, Fakour, Mohammad, Mokarrami, Hossein, Mahdi Nasab, Abdolhossein, Shahrivar, Farid. (1393). 'The Comparison of Results of Treatment of Midshaft Clavicle Fracture between Operative Treatment with Plate and Non-Operative Treatment', , 2(3), pp. 210-214. doi: 10.22038/abjs.2014.3351
Khorami, Mohsen, Arti, Hamid Reza, Fakour, Mohammad, Mokarrami, Hossein, Mahdi Nasab, Abdolhossein, Shahrivar, Farid. The Comparison of Results of Treatment of Midshaft Clavicle Fracture between Operative Treatment with Plate and Non-Operative Treatment. , 1393; 2(3): 210-214. doi: 10.22038/abjs.2014.3351

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، 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
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