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Operative stabilisation versus non-operative management of mid-shaft clavicle fractures

Introduction: Fractures of the mid-shaft clavicle are commonly encountered in clinical practice. These can be managed either by conservative method or operative by internal fixation. This study aims to compare the outcomes of conservative and operative management. Methods: Forty patients with displa...

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Autores principales: Kumar, Alla Vasanth, Ramachandra Kamath, K., Salian, Preetham Raj V., Krishnamurthy, Sunil Lakshmipura, Annappa, Rajendra, Keerthi, Ishwara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDP Sciences 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879146/
https://www.ncbi.nlm.nih.gov/pubmed/36426961
http://dx.doi.org/10.1051/sicotj/2022046
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author Kumar, Alla Vasanth
Ramachandra Kamath, K.
Salian, Preetham Raj V.
Krishnamurthy, Sunil Lakshmipura
Annappa, Rajendra
Keerthi, Ishwara
author_facet Kumar, Alla Vasanth
Ramachandra Kamath, K.
Salian, Preetham Raj V.
Krishnamurthy, Sunil Lakshmipura
Annappa, Rajendra
Keerthi, Ishwara
author_sort Kumar, Alla Vasanth
collection PubMed
description Introduction: Fractures of the mid-shaft clavicle are commonly encountered in clinical practice. These can be managed either by conservative method or operative by internal fixation. This study aims to compare the outcomes of conservative and operative management. Methods: Forty patients with displaced and comminuted mid-shaft clavicle fractures were included in the study, among which twenty-five patients were treated conservatively and 15 patients underwent surgery and were followed up for a period of 1 year. Time taken for union, functional outcome, complications, and patient satisfaction were compared. Results: In the non-operative group, 28% of the fractures took less than twelve weeks to unite, whereas in the operative group 60% of them took less than 12 weeks to unite. At the end of 1 year, there was no statistical difference in mean UCLA (University of California and Los Angeles) score and the mean DASH score of the non-operative group and operative group. There were more complications in the operative group. Re-operative rate in the operative group was 40%. Patient satisfaction was 80% in the non-operative group, whereas 48% of patients were satisfied in the operative group. Conclusion: Displaced and comminuted mid-shaft clavicle fractures treated conservatively have more advantages when compared to surgically treated fractures.
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spelling pubmed-98791462023-02-03 Operative stabilisation versus non-operative management of mid-shaft clavicle fractures Kumar, Alla Vasanth Ramachandra Kamath, K. Salian, Preetham Raj V. Krishnamurthy, Sunil Lakshmipura Annappa, Rajendra Keerthi, Ishwara SICOT J Original Article Introduction: Fractures of the mid-shaft clavicle are commonly encountered in clinical practice. These can be managed either by conservative method or operative by internal fixation. This study aims to compare the outcomes of conservative and operative management. Methods: Forty patients with displaced and comminuted mid-shaft clavicle fractures were included in the study, among which twenty-five patients were treated conservatively and 15 patients underwent surgery and were followed up for a period of 1 year. Time taken for union, functional outcome, complications, and patient satisfaction were compared. Results: In the non-operative group, 28% of the fractures took less than twelve weeks to unite, whereas in the operative group 60% of them took less than 12 weeks to unite. At the end of 1 year, there was no statistical difference in mean UCLA (University of California and Los Angeles) score and the mean DASH score of the non-operative group and operative group. There were more complications in the operative group. Re-operative rate in the operative group was 40%. Patient satisfaction was 80% in the non-operative group, whereas 48% of patients were satisfied in the operative group. Conclusion: Displaced and comminuted mid-shaft clavicle fractures treated conservatively have more advantages when compared to surgically treated fractures. EDP Sciences 2022-11-25 /pmc/articles/PMC9879146/ /pubmed/36426961 http://dx.doi.org/10.1051/sicotj/2022046 Text en © The Authors, published by EDP Sciences, 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kumar, Alla Vasanth
Ramachandra Kamath, K.
Salian, Preetham Raj V.
Krishnamurthy, Sunil Lakshmipura
Annappa, Rajendra
Keerthi, Ishwara
Operative stabilisation versus non-operative management of mid-shaft clavicle fractures
title Operative stabilisation versus non-operative management of mid-shaft clavicle fractures
title_full Operative stabilisation versus non-operative management of mid-shaft clavicle fractures
title_fullStr Operative stabilisation versus non-operative management of mid-shaft clavicle fractures
title_full_unstemmed Operative stabilisation versus non-operative management of mid-shaft clavicle fractures
title_short Operative stabilisation versus non-operative management of mid-shaft clavicle fractures
title_sort operative stabilisation versus non-operative management of mid-shaft clavicle fractures
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879146/
https://www.ncbi.nlm.nih.gov/pubmed/36426961
http://dx.doi.org/10.1051/sicotj/2022046
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