Surgical Treatment of Mid-Shaft Clavicle Fractures: Plate Fixation and Clinical Outcomes
JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, cilt.6, ss.792-796, 2015 (ESCI, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 6
- Basım Tarihi: 2015
- Doi Numarası: 10.4328/jcam.3668
- Dergi Adı: JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.792-796
- Dokuz Eylül Üniversitesi Adresli: Hayır
Özet
In the present study, we assessed the clinical and radiographic results and complications in patients who underwent open reduction and internal fixation using a plate for clavicle fracture. A total of 42 patients were enrolled in the study, including 27 men (64.2%) and 15 women (35.7%). The mean age was 31 years (range, 19-51 years), and the mean follow-up time was 16.2 months (range, 9-26 months). Twenty-three patients (54.7%) had left clavicle fractures, and 19 patients (45.2%) had right clavicle fractures. The mean constant score was 85.2 (range, 65-96) at the end of follow-up. In the post -operative period, implant failure was detected in five patients (11.9%), and implant irritation was detected in two patients (4.74). In patients without implant failure, the mean clavicular length was measured as 164.45 mm (range, 124.78-188.19 mm) on the treated side and 165.82 mm (range, 124.17-189.94 mm) on the intact side after follow-up (p = In patients with implant failure, the mean clavicular length was measured as 161.93 mm (range, 137-172.54 mm) on the treated side and 171.05 mm (range, 149.49-181.72 mm) on the intact side (p = 0.02). We conclude that anatomical restoration using plates in displaced mid -shaft clavicle fractures with loss of cortical contact spares clavicular length and provides better functional outcomes.