Closed Fracture of Shaft of Clavicle
Conditions
Keywords
midshaft clavicle fracture, functional outcome, anteroinferior plate, superior plate, reconstruction plate
Brief summary
The purpose of this study was to evaluate the functional outcome in patients with a midshaft clavicle fracture treated with to different techniques. the first one was placing a 3.5mm reconstruction plate in the superior side of the clavicle and the second one placing the same 3.5mm reconstruction plate in the anteroinferior side of the clavicle. the patients had the same rehabilitation program and evaluated with functional scores at 30, 60, 90 and 365 days after surgery. biomechanical studies have demonstrated more stable construct using an anteroinferior plate in clavicle fractures and we were trying to find out if it has a clinical relevance in patients with midshaft clavicle fractures.
Detailed description
The purpose of this study was to evaluate the functional outcome in patients with a midshaft clavicle fracture treated with to different techniques. the first technique was placing a 3.5mm reconstruction plate in the superior side of the clavicle and the second one placing the same 3.5mm reconstruction plate in the anteroinferior side of the clavicle. the patients had the same rehabilitation program and evaluated with Disabilities Arm Shoulder and Hand functional outcome score and Visual Analogue Score for pain at 30, 60, 90 and 365 days after surgery. biomechanical studies have demonstrated more stable construct using an anteroinferior plate in clavicle fractures and we were trying to find out if it has a clinical relevance in patients with midshaft clavicle fractures.
Interventions
3.5mm superior reconstruction plate
3.5mm anteroinferior reconstruction plate
Sponsors
Study design
Masking description
the patient and the outcomes analyzer were masked
Intervention model description
randomized clinical trial
Eligibility
Inclusion criteria
* traumatic fracture * ao 15 b1 and 15 b2 * no previous shoulder lesions * no further 7 days fractures * closed fracture
Exclusion criteria
* calcium diseases * Previous shoulder pain * other fractures associated
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disabilities of Arm Shoulder and Hand score (DASH) | 30 days after surgery | we applied the Disabilities of arm, shoulder and hand score a score from 0 to 100 where 0 is no disability and 100 the worst disability |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale score (VAS) | 30 days after surgery | we applied Visual Analogous Scale pain score a 0 to 10 score where 0 is no pain and 10 the maximum grade of pain |