SURGICAL TREATMENT OF CLAVICLE FRACTURES: A DESCRIPTIVE ANALYSIS OF 88 CASES
Leandro Marano Rodrigues1,2, Rafael Sampaio Oliveira3, Lerud Frosi Nunes1,2
1Santa Casa de Misericordia de Vitoria, Departamento de Cirurgia de Ombro e Cotovelo, Vitoria, ES, Brazil.
Acta Ortopedica Brasileira
|July 20, 2023
Summary
Clavicle fractures are common in young men, often from car accidents. Surgical treatment outcomes show low complication rates, regardless of fixation materials used.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Epidemiology
Background:
- Clavicle fractures represent a significant portion of adult bone injuries.
- Recent shifts in treatment protocols necessitate updated understanding.
Purpose of the Study:
- To delineate the epidemiological and behavioral characteristics of clavicle fractures requiring surgical intervention.
- To analyze patient demographics, injury etiology, and fracture patterns in surgically treated cases.
Main Methods:
- Retrospective case series analysis.
- Inclusion of 88 adult patients who underwent surgical treatment for clavicle fractures.
Main Results:
- Predominantly affected demographic: 85.22% male patients.
- Leading cause: Automobile accidents (48%).
- Fracture characteristics: Predominantly right-sided (51%), Allman type I.
- Complication rates: Infection (1.13%), pseudarthrosis (2.27%).
Conclusions:
- Clavicle fractures are most incident in young males, frequently due to vehicular trauma, and typically involve the middle third.
- No statistically significant difference in postoperative complication rates was observed between different surgical fixation materials.
- This suggests comparable risk profiles for various surgical approaches in treating clavicle fractures.
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