Conservative Vs Operative Management of Displaced Midshaft Clavicle Fracture: A Comparative Study

Jha, Gyanendra Kumar; Timsina, Pravin; Yadav, Deepesh; Lamichhane, Suman; Jha, Shweta

doi:10.26717/bjstr.2018.11.002051

Cited by 6 publications

(8 citation statements)

References 20 publications

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“…Superficial infection was observed in 2 patients which were treated with antibiotics and regular dressing. Similar result was observed in study by Gyanendra Kumar Jha et al [22] in which 2 patients developed superficial infection and were treated with dressing.…”

Section: Discussionsupporting

confidence: 89%

To evaluate the clinical and radiological outcome of internal fixation of distal end of femur fracture using locking compression plate

Patil¹,

Patil²,

Lad³

et al. 2019

Int. J. Orthop. Sci.

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The aim of this study was to evaluate the clinical and radiological outcome of internal fixation of distal end of femur fracture using locking compression plate. Commonly occurs in elderly patients following a trivial fall or in young adults following a high velocity trauma due to RTA. Treatment of distal femur fracture has been a great challenge with a variety of treatment modalities available and yet unpredictable outcomes. Surgical treatment has become the favourable choice after improvement in surgical techniques and implants. Materials and Method: A prospective study on 22 patients was conducted between the year august 2017-Dec 2018 with age group between 20-70 years with a mean age of 50, irrespective of sex. The patients were treated with internal fixation using locking compression plate and followed up at 6 months post-operatively. The clinical outcomes were evaluated using Neers scoring system at 6 months post-operatively. Result and Observation: The result showed that sixteen patients had excellent results, four had Good, one had fair and one failure. Conclusion:The treatment of distal femur fracture (AO type A, B and C) with a single LCP using direct lateral approach, good to excellent results were achieved in majority of the cases will full weight bearing to start as early as 18.03 weeks (average) and radiological union by 16 weeks (average) and therefore is our current choice for most AO/OTA type A, B and C fractures of distal femur requiring plate Osteosynthesis.

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Section: Discussionsupporting

confidence: 89%

To evaluate the clinical and radiological outcome of internal fixation of distal end of femur fracture using locking compression plate

Patil¹,

Patil²,

Lad³

et al. 2019

Int. J. Orthop. Sci.

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“…About the union time, The mean time of union was almost similar based of the study of (Jha et al, 2018) and (Tamaoki et al, 2017). Unlike with the study of (Goh et al, 2020) that showed of 60 patients that arm sling have a higher rate of union than figure of eight.…”

Section: B Discussionmentioning

confidence: 56%

Arm Sling Versus Figure of Eight for Treating Midshaft Clavicle Fracture in Adults – A Systematic Review

Arga Saputro

2021

cerdika

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Introduction: The clavicle is a long, dual-curved bone that forms the only direct link between the axial and appendicular skeletons. Clavicle fracture is the most frequent trauma of the scapular girdle, and involves the midshaft. Although the proportion managed operatively has increased in recent years, the majority (80%) occur at the midshaft are treated non-operatively. Conservative treatments (including figure of eight and arm sling) has a high union rate and good clinical outcome in majority of cases, but very few randomized studies have compared the two. Therefore, a systematic review is needed to compare between arm sling and figure of eight bandage for treat the midshaft clavicle fracture in adults. The author hopes that this systematic review can be the consideration for the better treatment in closed clavicle fracture in adults. Method: The following strategy was used terms on several journals of comparison between arm sling with figure of eight bandage for threatening midshaft clavicle fracture in adults. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to perform the comprehensive data collection. The authors used 5 years publication date and English language to select an appropriate journal. Result: The result is presented by comparison between arm sling and figure of egiht for the treatment outcomes. The author identified 11 relevant articles about comparison between arm sling and figure of eight to treat midshaft clavicle fracture in adults. The total number of patients was 3064 samples. The articles compare about the level of pain by VAS score, level of shortening and mean time of union. Conclusion: The arm sling has better advantages for non-operative treatment to midshaft clavicle fracture in adults than figure of eight bandage. It shows from the level of pain, level of shortening and mean time of union. The arm sling treatment has less level of pain, less level of shortening and less mean time of union than figure of eight bandage.

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“…Previously it was found that 68% male had such fractures and are mostly admitted to the hospitals more frequently as compared to females 14 . Another study showed male patients with 70% ratio and only 30% female with mid-shaft clavicle fractures 15 . In our study it was found that most common cause of injury was sports injury as found in 20 and 18 patients in control and non-operative group respectively.…”

Section: Discussionmentioning

confidence: 95%

Comparative Study of Operative and Non-Operatively Treated Displaced Mid-Shaft Clavicle Fractures in Adults

Ashraf¹,

Haider²,

Rauf³

et al. 2023

PJMHS

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Background: A displaced mid-shaft clavicle fracture in an adult is a break in the collarbone, which is the long bone that runs from the shoulder to the chest. Mid-shaft fractures occur in the middle portion of the collarbone and the displaced fracture means that the broken pieces have moved out of their normal alignment. Study design: It is a comparative study conducted at Orthopedics Department of Pakistan Railway General Hospital, Rawalpindi for the duration of six months from Jan 2022 to June 2022. Material and Methods: The patients who were treated without operation were compared with operative patients for better results. Both groups contained 60 patients. The average age of the patients was 29.9±7.8 in the control group and 32.1±8.1 in the non-operative group. There were 32 and 28 patients in control group that had right and left side of injury respectively. This study was approved by the ethical and the review board committee of the hospital. The data was collected and statistical analysis was performed. Results: The functional outcome of the patients is constant score fracture was calculated and clavicle shortening was carefully observed. The average shortening of clavicle was 0.71±8.1 cm. After a follow-up of 3 months’ clavicle shortening was calculated. The outcome was linked to amount of clavicle shortening among patients Conclusion: The study was done to find the functional outcome of non-operatively treated displaced mid-shaft clavicle fractures in the adult as compared with the operatively treated patients. The results showed that non-operative management of minimally displaced mid shaft clavicle fracture also had good functional outcome. Keywords: Clavicle fracture and the non-operative treatment.

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Conservative Vs Operative Management of Displaced Midshaft Clavicle Fracture: A Comparative Study

Cited by 6 publications

References 20 publications

To evaluate the clinical and radiological outcome of internal fixation of distal end of femur fracture using locking compression plate

To evaluate the clinical and radiological outcome of internal fixation of distal end of femur fracture using locking compression plate

Arm Sling Versus Figure of Eight for Treating Midshaft Clavicle Fracture in Adults – A Systematic Review

Comparative Study of Operative and Non-Operatively Treated Displaced Mid-Shaft Clavicle Fractures in Adults

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