Management of clavicle fractures and adjacent clavicular joint dislocations in a Tertiary Health Center, North West, Nigeria

Ejagwulu, F S; Lawal, Yau Zakari; Maitama, I M; Amaefule, K E; Audu, Siyaka Simpa

doi:10.4103/njbcs.njbcs_34_17

Cited by 3 publications

(3 citation statements)

References 32 publications

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“…Similar observations were noted in the studies of Singh A et al [19] , Ethiraj P et al [18] , Abu-zeid ME et al [20] , Kingsly P et al [21] , Ejagwulu FS et al [22] and Onta PR et al [23] .…”

Section: Resultssupporting

confidence: 86%

“…Kingsly P et al [21] prospectively and retrospectively study found mean time to union was 16.3 weeks in the reconstruction plate group compared with 13.4 weeks in the precontoured locking plate group. Ejagwulu FS et al [22] prospective study assessing the incidence of clavicle injuries observed average X-ray healing duration was 16.2 and 14.6 weeks for those managed conservatively and surgically, respectively. Onta PR et al [23] 24 noted similar observations in their study.…”

Section: Resultsmentioning

confidence: 99%

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A prospective comparative study of functional outcome in patients treated non-operatively and surgically (by plate osteosynthesis) for mid-shaft clavicle fractures in adults

Dalal¹,

Dudani²,

Jadhav³

et al. 2021

Int. J. Orthop. Sci.

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Clavicle fracture is a common traumatic injury around shoulder girdle due to their subcutaneous position. It is caused by either low-energy or high-energy impact. Fractures of the clavicle have been traditionally treated non-operatively. Although many methods of closed reduction have been described, it is recognized that reduction is practically impossible to maintain and a certain amount of deformity and disability is expected in adults. 30 patients with mid-shaft clavicle fracture were systematically randomized (alternate patient) into either operative treatment with plate fixation or non-operative treatment with clavicle brace and sling. All fractures were classified using Robinson's classification for clavicle fractures and only Type 2A2 and 2B1 were considered for the study. Patients were followed up at 3wks, 6wks, 3rd month & 6th month. Functional outcomes were assessed according to the Constant and Murley Scoring and radiologically. Maximum number (90%) of patients had Robinson's Type 2B1 fracture. The mean duration of hospital stay for patients in Group A(operative) and Group B(non operative) was 3.67 ± 0.90 days and 1.73 ± 0.46 days respectively. In Group A, the mean duration of trauma to surgery was 3.13 ± 2.64 days. While the mean operative time was 104.87 ± 13.52 minutes. The duration of union was significantly lesser in Group A as compared to Group B according to Chi-Square test (p<0.05) The mean duration for time till Return to Functional ROM in Group B was 8.73 ± 4.33 weeks. There was no significant difference between the groups as per Chi-Square test (p>0.05). Primary open reduction and internal fixation with pre-contoured clavicle plate for displaced, middle third clavicle fractures provide a more rigid fixation and allows early mobilization whereas conservative treatment require longer periods of immobilization till fracture union. Functional outcomes are better with surgical management of middle third clavicle fractures with pre-contoured locking compression plate. The successful use of locking compression plate for middle third fractures of clavicle requires careful assessment of fracture pattern, patient selection, meticulous operative technique, appropriate choice of fixation, judicious internal fixation, careful post-operative monitoring and aggressive early institution rehabilitation. So, there is need to individualize the treatment as per the need and functional demand of the patient to give the optimum outcome.

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Section: Resultssupporting

confidence: 86%

Section: Resultsmentioning

confidence: 99%

A prospective comparative study of functional outcome in patients treated non-operatively and surgically (by plate osteosynthesis) for mid-shaft clavicle fractures in adults

Dalal¹,

Dudani²,

Jadhav³

et al. 2021

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

show abstract

“…13 Considering the unstable nature of the lateral third clavicle fracture, the surgical treatment is justified by many surgeons at the moment with good functional outcome. 4, [14][15][16][17] Because of the rarity of medial clavicle fracture, the number of operative reports for this type of fracture is limited in the medical literature. However, few significant reports indicating the necessity of surgery in the medial third fractures rationally.…”

Section: Introductionmentioning

confidence: 99%

Safe Clavicle Fracture Surgery

Subbiah¹

2020

Journal of Orthopedics and Joint Surgery

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The surgical treatment is being advocated for all types of displaced clavicle fractures currently. At the same time, the neurovascular and other serious operative complications are in rise. This article updates the applied anatomical knowledge and operative skills required for the orthopedic surgeon who intends to surgically fix the clavicle fracture safely. How to cite this article: Babu SV. Safe Clavicle Fracture Surgery. J Orth Joint Surg 2020;2(2):62–65.

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Safe Clavicle Fracture Surgery

Babu

2021

Safe Orthopaedic Surgery

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Management of clavicle fractures and adjacent clavicular joint dislocations in a Tertiary Health Center, North West, Nigeria

Cited by 3 publications

References 32 publications

A prospective comparative study of functional outcome in patients treated non-operatively and surgically (by plate osteosynthesis) for mid-shaft clavicle fractures in adults

A prospective comparative study of functional outcome in patients treated non-operatively and surgically (by plate osteosynthesis) for mid-shaft clavicle fractures in adults

Safe Clavicle Fracture Surgery

Safe Clavicle Fracture Surgery

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