Back to Search
Start Over
T-plate fixation for unstable proximal clavicula fractures
- Source :
- Acta Orthopaedica et Traumatologica Turcica, Acta Orthopaedica et Traumatologica Turcica, Vol 52, Iss 6, Pp 464-468 (2018)
- Publication Year :
- 2017
-
Abstract
- Objective: The aim of this study was to evaluate the clinical results of T-plate fixation and anterior sternoclavicular ligament repair in proximal clavicle fractures. Methods: Between August 2013 and August 2016, a total 12 patients (10 men and 2 women; mean age: 44.1 ± 9.1 years (range, 25–59 years)) with unstable proximal clavicle fractures (Throckmorton, type D) were treated with T-type plate fixation, bridging the sternoclavicular joint, and anterior sternoclavicular ligament repair. Average operative time, associated injuries, postoperative complications, postoperative fracture healing time and follow-up time were recorded. The outcomes were evaluated with radiographic assessment, visual analog scale (VAS) pain score and Rockwood SCJ scoring system. All the patients were evaluated on postoperative 3rd, 6th, and 12th months. Results: The average surgery time was 78.0 ± 8.47 minutes while fracture healing time was 4.51 ± 0.95 months. According to Rockwood SCJ scoring system, 9 cases (75%) were in excellent, 2 cases (16.7%) in good and 1 case (8.3%) in fair condition at 12 months follow-up. The average Rockwood SCJ score was 7.7 ± 0.75 preoperatively, 12.7 ± 0.86 by 3 months, 13.0 ± 0.73 by 6 months and 13.3 ± 0.49 by 12 months. The VAS pain score was 7.9 ± 1.15 (preoperative score), 3.4 ± 1.52 (3 months follow-up), 3.0 ± 1.32 (6 months follow-up) and 2.1 ± 1.07 (12 months follow-up). The VAS and Rockwood SCJ scores were significantly improved postoperatively (p
- Subjects :
- Adult
Male
medicine.medical_specialty
Visual analogue scale
medicine.medical_treatment
Radiography
Plate
Sternoclavicular joint
Operative Time
Bone healing
Anterior sternoclavicular ligament
03 medical and health sciences
Fixation (surgical)
Fracture Fixation, Internal
Fractures, Bone
0302 clinical medicine
lcsh:Orthopedic surgery
medicine
Internal fixation
Humans
Orthopedics and Sports Medicine
Fracture Healing
Clavicula fracture
030222 orthopedics
Pain, Postoperative
business.industry
Proximal
030229 sport sciences
General Medicine
Middle Aged
Clavicle
Sternoclavicular Joint
Surgery
lcsh:RD701-811
medicine.anatomical_structure
Treatment Outcome
Sternoclavicular ligament
Ligaments, Articular
Female
business
Bone Plates
Research Paper
Subjects
Details
- ISSN :
- 25891294
- Volume :
- 52
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Acta orthopaedica et traumatologica turcica
- Accession number :
- edsair.doi.dedup.....5cb2ba8bb61f4e292171da00795e7f64