Archives of orthopaedic and trauma surgery · 2013
Displaced mid-shaft clavicular fractures: surgical treatment with intramedullary screw fixation.
Клиническое исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Abo El Nor Tarek
Аннотация
INTRODUCTION: Clavicle fractures account for around 4 % of all fractures and up to 44 % of fractures of the shoulder girdle. Fractures of the middle third account for approximately 80 % of all clavicle fractures. Management of mid-shaft clavicular fractures is often challenging and the outcome can be unsatisfactory.
MATERIALS AND METHODS: We prospectively evaluated 20 patients (16 males and 4 females) with an average age of 31 years (range 18-50 years) presented with fresh mid-shaft clavicular fractures who underwent open intramedullary fixation using a 6.5 partially threaded cancellous screw. The screw was inserted from the lateral fragment after retrograde drilling of that fragment. Average follow-up period was 16 months (range 10-24).
RESULTS: All cases united within 7-9 weeks (mean 8.2). Superficial infection was observed in one patient, three experienced decreased sensation over the site of incision, and four had symptoms of frozen shoulder.
DISCUSSION AND CONCLUSION: The technique is safe, simple, reliable method for fixation of displaced mid-shaft clavicle fractures with minimal complications and excellent functional outcomes. No complaints or indications for hardware removal after fractures healing.
MATERIALS AND METHODS: We prospectively evaluated 20 patients (16 males and 4 females) with an average age of 31 years (range 18-50 years) presented with fresh mid-shaft clavicular fractures who underwent open intramedullary fixation using a 6.5 partially threaded cancellous screw. The screw was inserted from the lateral fragment after retrograde drilling of that fragment. Average follow-up period was 16 months (range 10-24).
RESULTS: All cases united within 7-9 weeks (mean 8.2). Superficial infection was observed in one patient, three experienced decreased sensation over the site of incision, and four had symptoms of frozen shoulder.
DISCUSSION AND CONCLUSION: The technique is safe, simple, reliable method for fixation of displaced mid-shaft clavicle fractures with minimal complications and excellent functional outcomes. No complaints or indications for hardware removal after fractures healing.