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Predictors of clavicle fixation in multiply injured patients
Adrian Tinney1, Afshin Kamali Moaveni1,2, Lara A Kimmel3,4
1Department of Surgery, The Alfred Hospital, Melbourne, Australia.
Introduction:
Clavicle fractures account for approximately 10% of all fractures in multiply injured patients. Our study aims to determine factors associated with surgical fixation of the clavicle fracture in multiply injured patients.
Methods:
Major adult trauma patients from 2005 to 2014 with a clavicle fracture were included. Multivariate analysis was undertaken to determine the variables associated with fixation.
Results:
1779 patients (median age of 47 and a median Injury Severity Score of 17) were included. 273 (15%) patients underwent clavicle fixation. Factors associated with surgical fixation of the clavicle included: year, younger age, ICU admission, or an associated humerus or scapula fracture.
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