Plate fixation versus conservative treatment of displaced midshaft clavicle fractures: Functional outcome and patients' satisfaction during a mean follow-up of 5 years

Injury
J C van der Ven DeniseG D J van Olden

Abstract

The aim of the present prospective clinical trial was to compare patient-oriented and surgeon-based outcomes after non-operative care with operative treatment of displaced midshaft clavicle fractures. Between January 2009 and July 2011, 97 consecutive patients presenting with a midshaft clavicle fracture were prospectively recorded and included in this study. The patients were placed in either of the treatment groups on their own preference. They were then seen in outpatient clinic at two, six and 24 weeks were all endpoints were investigated and motivation of choice of treatment was noted. Study follow-up was continued until Augustus 2014, being the time point that long-term functional outcome was measured through a DASH score by letter. 97 patients were included in the functional outcome analysis. The mean DASH and Constant scores were significant better in the operative (90.9±14.2 and 15.7±17.2) than in the conservative treatment group at six weeks (78.7±17.0 and 24.8±16.7). There was a significant improvement in the Constant (95.9±10.5 versus 94.5±5.9) and DASH scores (8.8±12.0 versus 7.1±10.7) for both groups at 24 weeks but there was no significant difference in functional scores between the groups. Four patients develope...Continue Reading

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Citations

Jul 6, 2016·Journal of Pediatric Orthopedics·Ying LiMichelle S Caird
Nov 3, 2015·Chinese Medical Journal·Qing-Hua SangZhi Liu
Jan 3, 2019·The Journal of Bone and Joint Surgery. American Volume·Jane LiuVasilios Moutzouros
Jan 5, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Michael CatapanoDavid Wasserstein
Nov 30, 2018·Der Unfallchirurg·M WurmC Kirchhoff
May 10, 2020·Current Reviews in Musculoskeletal Medicine·Gilber KaskAntti P Launonen
Dec 22, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Camille EchalierLaurent Obert
May 24, 2021·BMC Musculoskeletal Disorders·Fangning HuYongliang Yang
Jul 27, 2021·International Orthopaedics·Dominique Saragaglia, Ramsay Refaie
Sep 4, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Nicholas J MurrayTim J S Chesser

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