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CLINICAL EVALUATION OF THE TREATMENT OF CLAVICLE FRACTURES: INTRAMEDULLARY NAIL × PLATE.
Thiago Medeiros Storti1,2, Maurício Siqueira Camilo1, Rafael Francisco Alves Silva2,3
1Instituto do Ombro de Brasília, Brasília, DF, Brazil.
Plate fixation and intramedullary nails offer comparable outcomes for midshaft clavicle fractures. Plate fixation resulted in significantly less clavicle shortening, while both methods showed similar shoulder function and complication rates.
Area of Science:
- Orthopedic surgery
- Traumatology
Background:
- Surgical fixation is beneficial for displaced midshaft clavicle fractures.
- Plate fixation and intramedullary nailing are primary surgical techniques.
Purpose of the Study:
- To compare the clinical and radiographic outcomes of plate fixation versus intramedullary nailing for displaced midshaft clavicle fractures.
Main Methods:
- Retrospective study evaluating patients with displaced midshaft clavicle fractures treated with either plate and screws or intramedullary nail.
- Data collected included socioeconomic variables, pain scores, shoulder function (CONSTANT and UCLA scores), and radiographic assessment of consolidation and clavicle shortening.
Main Results:
- Sixty-five patients were analyzed (36 plate, 29 nail).
- Plate fixation showed significantly less median clavicle shortening (0.1mm vs. 5.8mm, p=0.001).
- Both groups reported similar UCLA (average 35) and CONSTANT scores (96.5 plate, 95 nail), with comparable complication rates (20% overall).
Conclusions:
- Both plate fixation and intramedullary nailing provide satisfactory results for displaced midshaft clavicle fractures.
- Plate fixation may offer an advantage in minimizing clavicle shortening.
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