9. Mid-term outcome of clavicle open reduction internal fixation surgery with superior titanium locking plate at Buu Dien Hospital
Main Article Content
Abstract
Clavicle fractures are common injuries typically treated conservatively with an 8-shape bandage. However, open reduction internal fixation (ORIF) surgery using a superior titanium locking plate has become more common due to a low rate of nonunion and early upper limb rehabilitation. The objective of this retrospective study was to evaluate the mid-term outcomes of clavicle ORIF surgery with a superior titanium locking plate at Buu Dien Hospital from January 2019 to November 2021. The study included 50 patients, with a mean age of 39.24 ± 12.97, and a male/female ratio of 4:1. Of these patients, 80% had middle third fractures, 20% had lateral third fractures, and 10% had damage to the coracoid-clavicular ligament. The mean follow-up time was 32.28 ± 10.37 months. All patients healed within six months, and none experienced infection or exposed plates to the skin. The average Quick DASH score was 0.591, with a bad scar rate of 68%, keloids in 18% of patients, and 32% of patients experiencing supraclavicular nerve damage and visible subcutaneous plates. The surgery was deemed safe, with a 100% bone healing rate, low removal rate (6%), and almost complete recovery of shoulder function. However, limitations included poor surgical scarring and supraclavicular nerve damage.
Article Details
Keywords
Clavicle fracture, Superior clavicle locking plate, Mid-term outcome
References
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