IDEAS home Printed from https://ideas.repec.org/a/adp/joroaj/v15y2020i4p106-111.html
   My bibliography  Save this article

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

Author

Listed:
  • Xianzhi Ma
  • Qiyun Zhou

    (Trauma orthopedic Department, Xining, Qinghai Provincial People’s Hospital, China)

  • Limin Liu
  • Jianwu Ma
  • Shengshou Han
  • Kai Wang

    (Trauma orthopedic Department, Qinghai Provincial People’s Hospital, Xining, China)

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.

Suggested Citation

  • Xianzhi Ma & Qiyun Zhou & Limin Liu & Jianwu Ma & Shengshou Han & Kai Wang, 2020. "External Fixation in the Treatment of Displaced Midshaft Clavicle Fractures in Adults A Retrospective Study," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 15(4), pages 106-111, January.
    • Handle: RePEc:adp:joroaj:v:15:y:2020:i:4:p:106-111
    DOI: 10.19080/OROAJ.2020.15.555920
    as

    Download full text from publisher

    File URL: https://juniperpublishers.com/oroaj/pdf/OROAJ.MS.ID.555920.pdf
    Download Restriction: no
    File URL: https://juniperpublishers.com/oroaj/OROAJ.MS.ID.555920.php
    Download Restriction: no
    File URL: https://libkey.io/10.19080/OROAJ.2020.15.555920?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:adp:joroaj:v:15:y:2020:i:4:p:106-111. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Robert Thomas (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.