TY  - JOUR
TI  - Effect of surgery and conservative treatment on clavicular
shortening in midshaft clavicle fractures
AB  - Aim: Clavicle fractures mostly occur after a trauma in adults and 80% of them occur in
the midshaft. Treatment is done conservatively and surgically. The aim of the study is
to evaluate the effects of surgical and conservative treatments on clavicular shortening in
terms of radiological evaluation retrospectively.
Materials and Methods: The patients over the age of 18 with a midshaft clavicle
fracture, who applied to our center between 2015 and 2020 and were treated conservatively
and surgically, were included in the study. In both treatment groups, the clavicle lengths
on the fractured side and the intact side of the patient were measured on the posterioranterior
thorax radiography, and the relevant shortness of length was determined. The
rates of Clavicular Shortening and other complications occurred in both treatment groups
were evaluated
Results: Ages of the patients included in the study were between 18 and 71 (mean 35.6
±12.2years) and 48 of them were treated conservatively and 28 were treated surgically.
Clavicle length was determined as 158 ±11.2 mm and shortness as 8.2±9.4 mm on average
in the patients with a midshaft fracture, who were treated conservatively. In the patients
with midshaft fracture, who were treated surgically, the length of clavicle was measured
as 164±12.6 mm and shortness as 3.1±5.2 mm. Statistically significant short clavicle
length was determined in the patients who were treated conservatively (p < 0.05). While
11 (22.9%) complications were observed in the patients treated conservatively, 9 (32.1%)
complications were observed in those treated surgically.
Conclusions: A lower rate of clavicular shortening was found in the surgical treatment of
midshaft clavicle fractures. This can be one of the reasons for the increase in the tendency
to surgery, as it preserves the anatomy and biomechanics of the shoulder better.
AU  - Tokyay, Abbas
DO  - 10.5455/annalsmedres.2021.11.606
PY  - 2022
JO  - Annals of Medical Research
VL  - 29
IS  - 3
SN  - 2636-7688
SP  - 272
EP  - 275
DB  - TRDizin
UR  - http://search/yayin/detay/520324
ER  -