Cargando…

Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists

BACKGROUND: There exists a wide variety of opinions on the appropriate management of diaphyseal humeral and clavicular fractures amongst orthopedic surgeons. The purpose of this study is to determine if there is a preference amongst orthopedic traumatologists on treatment of diaphyseal humerus and c...

Descripción completa

Detalles Bibliográficos
Autores principales: Sharareh, Behnam, Perkins, Christopher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7499960/
https://www.ncbi.nlm.nih.gov/pubmed/32948174
http://dx.doi.org/10.1186/s12891-020-03639-x
_version_ 1783583770964656128
author Sharareh, Behnam
Perkins, Christopher
author_facet Sharareh, Behnam
Perkins, Christopher
author_sort Sharareh, Behnam
collection PubMed
description BACKGROUND: There exists a wide variety of opinions on the appropriate management of diaphyseal humeral and clavicular fractures amongst orthopedic surgeons. The purpose of this study is to determine if there is a preference amongst orthopedic traumatologists on treatment of diaphyseal humerus and clavicle fractures with respect to various patient populations. METHODS: A 6-question survey was created using Surveymonkey.com and distributed via the Orthopedic Trauma Association (OTA) website to fellowship trained orthopedic surgery traumatologists to survey the preferred management of a simple oblique middle 1/3rd diaphyseal humerus fracture and a middle 1/3rd displaced diaphyseal clavicle fracture in the following 3 clinical settings: a healthy laborer, an older patient with co-morbidities, and if the surgeon themselves sustained the injury. The ratio of operative to non-operative management was calculated for all 6 questions. A chi-square value was performed to determine if the results are clinically significant based on the clinical scenario. RESULTS: There was 56 responses to the survey that were included in the analysis. Overall, there was a statistically significant trend towards surgical management of the surgeon’s own diaphyseal humerus fractures (55%) compared to that of healthy patients (41%) and those with medical comorbidities (21%) (p = 0.02) A similar trend was noted for operative management for diaphyseal clavicle fractures by the surgeon on their own fractures (43%) compared to that of healthy patients (38%) and those with medical comorbidities (18%) (p = 0.02). CONCLUSION: While there are an increasing number of relative indications for treatment of diaphyseal humerus shaft and clavicle fractures, the results of this survey indicate that fellow-ship-trained orthopedic trauma surgeons prefer surgical management of simple humerus and clavicular fractures in young, healthy patients as well as in themselves.
format Online
Article
Text
id pubmed-7499960
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-74999602020-09-21 Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists Sharareh, Behnam Perkins, Christopher BMC Musculoskelet Disord Research Article BACKGROUND: There exists a wide variety of opinions on the appropriate management of diaphyseal humeral and clavicular fractures amongst orthopedic surgeons. The purpose of this study is to determine if there is a preference amongst orthopedic traumatologists on treatment of diaphyseal humerus and clavicle fractures with respect to various patient populations. METHODS: A 6-question survey was created using Surveymonkey.com and distributed via the Orthopedic Trauma Association (OTA) website to fellowship trained orthopedic surgery traumatologists to survey the preferred management of a simple oblique middle 1/3rd diaphyseal humerus fracture and a middle 1/3rd displaced diaphyseal clavicle fracture in the following 3 clinical settings: a healthy laborer, an older patient with co-morbidities, and if the surgeon themselves sustained the injury. The ratio of operative to non-operative management was calculated for all 6 questions. A chi-square value was performed to determine if the results are clinically significant based on the clinical scenario. RESULTS: There was 56 responses to the survey that were included in the analysis. Overall, there was a statistically significant trend towards surgical management of the surgeon’s own diaphyseal humerus fractures (55%) compared to that of healthy patients (41%) and those with medical comorbidities (21%) (p = 0.02) A similar trend was noted for operative management for diaphyseal clavicle fractures by the surgeon on their own fractures (43%) compared to that of healthy patients (38%) and those with medical comorbidities (18%) (p = 0.02). CONCLUSION: While there are an increasing number of relative indications for treatment of diaphyseal humerus shaft and clavicle fractures, the results of this survey indicate that fellow-ship-trained orthopedic trauma surgeons prefer surgical management of simple humerus and clavicular fractures in young, healthy patients as well as in themselves. BioMed Central 2020-09-18 /pmc/articles/PMC7499960/ /pubmed/32948174 http://dx.doi.org/10.1186/s12891-020-03639-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Sharareh, Behnam
Perkins, Christopher
Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists
title Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists
title_full Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists
title_fullStr Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists
title_full_unstemmed Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists
title_short Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists
title_sort variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7499960/
https://www.ncbi.nlm.nih.gov/pubmed/32948174
http://dx.doi.org/10.1186/s12891-020-03639-x
work_keys_str_mv AT shararehbehnam variationinmanagementofhumeralandclavicularshaftfracturesamongstfellowshiptrainedorthopedictraumatologists
AT perkinschristopher variationinmanagementofhumeralandclavicularshaftfracturesamongstfellowshiptrainedorthopedictraumatologists