Functional outcomes of the treatment of closed displaced mid-shaft clavicular fractures in adults : Comparison of the results of surgical versus conservative treatment

Authors

  • Osama Saleh Tishreen University
  • Maan Saad Tishreen University
  • Ezzat Almohammad Tishreen University

Abstract

Objective: Improving functional outcomes in adult patients with closed displaced midshaft clavicular fractures by studing the advantages and disadvantages of both treatment methods "surgical and conservative" and choice the best method of treatment.

Patients and methods: Acomparative study included 47 patients over 18 years old. The patients were divided into 2 groups (surgical and conservative).DASH and MURLEY scores were performed after (6،9،12،24،52) weeks. The duration of the research was two years "2020-2021"

Results: The rate of nonunion was significantly higher in the conservative treated group than in the surgical group(12.5% compared with 6.5%).DASH and MURLEY scores were significantly better for the surgical group at all follow ups. Return to work period in operative group was faster than that in nonoperative one.

Conclusion: Open reduction and internal fixation for closed displaced midshaft clavicular fractures improves functional outcomes and decreases the rate of nonunion and malunion. Surgical treatment also makes return to work faster.

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Published

2023-05-18

How to Cite

1.
صالح ا, معن سعد, عزّة المحمد. Functional outcomes of the treatment of closed displaced mid-shaft clavicular fractures in adults : Comparison of the results of surgical versus conservative treatment. Tuj-hlth [Internet]. 2023May18 [cited 2024Nov.24];45(2):351-68. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/14679

Issue

Vol. 45 No. 2 (2023): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Master student researches

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