External Fixation in the Treatment of Displaced Midshaft Clavicle Fractures in Adults A Retrospective Study

Xianzhi Ma, Qiyun Zhou, Limin Liu, Jianwu Ma, Shengshou Han and Kai Wang
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Qiyun Zhou: Trauma orthopedic Department, Xining, Qinghai Provincial People’s Hospital, China
Kai Wang: Trauma orthopedic Department, Qinghai Provincial People’s Hospital, Xining, China

Orthopedics and Rheumatology Open Access Journals, 2020, vol. 15, issue 4, 106-111

Abstract: The study aims to compare the clinical outcome of external fixation (EF) and plating fixation (PF) in the treatment of displaced midshaft clavicle fractures in adults. Fifty-nine patients meeting the inclusion criteria were selected; 29 cases of external fixation and 30 cases of open-reduction plate fixation. The average follow-up period was 32 months. Outcomes analysis included: satisfaction with the received treatment, local appearance and shoulder function; residual symptoms; constant shoulder score (CSS); disability of the arm, shoulder and hand score (DASH). 25 cases of EF and all patients in PF group were successfully followed up. No statistically significant differences were observed between two groups in overall satisfaction (P = 0.12), CSS (P = 0.132), DASH (P = 0.113), or healing time (P = 0.086). In the EF group, there was one case of non-union (4%) and three cases of angular deformity. PF group had one case of non-union (3%) and no malunion; hardware irritation and the need for a second surgery were the biggest complications. Compared with PF, EF provided a better treatment overall, with the advantages of simple procedure, no damage to the soft tissue and blood supply, a short healing time, and no second operation.

Keywords: journal of orthopaedics; orthopaedics journals impact factor; orthopaedics articles impact factor; scholarly publishing orthopedics journals; juniper publishers opena ccess orthopedics journal; Rheumatology; rheumatology journals impact factor 2018; rheumatology journals impact factor; rheumatology open access journals; juniper publishers review (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:adp:joroaj:v:15:y:2020:i:4:p:106-111

DOI: 10.19080/OROAJ.2020.15.555920

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