Comparison of subjective and functional results on the operative and non-operative application of clavicle fractures
Article Sidebar
-
Clavicle fracture, operative treatment, DASH score, SF-36 Score
Abstract
Abstract
Â
A clavicle fracture is one of the most common bone injuries occurring in 2-5% of all adult fractures. Clavicle fractures rarely require surgery. Most of the cases were treated by conservative methods. Conservative treatment yields satisfactory results. However, some latest studies showed an incidence of nonunion of up to 15% and patient dissatisfaction of 31%. This study analyzed the outcome and incidence of complications between operative therapy compared to conservative treatment. This research design was a retrospective descriptive observative. The study population was all patients diagnosed with clavicle fracture of the middle third in RSUD Dr. Soetomo Surabaya from 2015 to 2019. The total sample was 153 patients, with 95 patients who underwent conservative measures and 58 patients who underwent surgery. From the results, there were significant differences between the mean SF-36 score [90.81 and 98.21 (p = 0.000)], the mean DASH score [6.94 and 2.42 (p = 0.000)] in patients with fractures clavicle middle third treated with conservative and operative treatment. The union and functional rates were also better in the operative group. This study shows that the operative treatment on clavicle fractures is superior compared to conservative therapy.
Â
Keywords: Clavicle fracture, operative treatment, DASH score, SF-36 score
Correspondence: dr.harisdwi@gmail.com
Full text article
References
Burnham, J. M., Kim, D. C. and Kamineni, S. (2016) 'Midshaft clavicle fractures: A critical review', Orthopedics, 39(5), pp. e814–e821. doi: 10.3928/01477447-20160517-06.
Carreon, L. Y. et al. (2011) 'Predicting SF-6D utility scores from the neck disability index and numeric rating scales for neck and arm pain', Spine, 36(6), p. 490.
Gummesson, C., Atroshi, I. and Ekdahl, C. (2003) 'The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: Longitudinal construct validity and measuring self-rated health change after surgery', BMC Musculoskeletal Disorders, 4, pp. 1–6. doi: 10.1186/1471-2474-4-11.
Jarvis, N. E. et al. (2018) 'Surgery for the fractured clavicle: factors predicting nonunion', Journal of Shoulder and Elbow Surgery, 27(5), pp. e155–e159. doi: 10.1016/j.jse.2017.10.010.
Jha, G. K. et al. (2018) 'Conservative Vs Operative Management of Displaced Midshaft Clavicle Fracture-A Comparative Study', Biomedical Journal of Scientific & Technical Research, 11(1), pp. 8293–8303.
Kihlström, C. et al. (2017) 'Clavicle fractures: epidemiology, classification and treatment of 2 422 fractures in the Swedish Fracture Register; an observational study', BMC Musculoskeletal Disorders, 18(1), pp. 1–9. doi: 10.1186/s12891-017-1444-1.
Laucis, N. C., Hays, R. D. and Bhattacharyya, T. (2015) 'Scoring the SF-36 in orthopaedics: a brief guide', The Journal of bone and joint surgery. American volume, 97(19), p. 1628.
Napora, J. K. et al. (2016) 'Factors Affecting Functional Outcomes after Clavicle Fracture', Journal of the American Academy of Orthopaedic Surgeons, 24(10), pp. 721–727. doi: 10.5435/JAAOS-D-16-00130.
Naveen, B. M., Joshi, G. R. and Harikrishnan, B. (2017) 'Management of mid-shaft clavicular fractures: comparison between nonoperative treatment and plate fixation in 60 patients', Strategies in Trauma and Limb Reconstruction, 12(1), pp. 11–18. doi: 10.1007/s11751-016-0272-4.
Robinson, C. M. (1998) 'Fractures of the clavicle in the adult: epidemiology and classification', The Journal of bone and joint surgery. British volume, 80(3), pp. 476–484.
Ropars, M., Thomazeau, H. and Huten, D. (2017) 'Clavicle fractures', Orthopaedics and Traumatology: Surgery and Research, 103(1), pp. S53–S59. doi: 10.1016/j.otsr.2016.11.007.
Sharma, D. S. K. et al. (2018) 'Evaluation of functional outcome after plate fixation of midshaft fracture of clavicle', International Journal of Orthopaedics Sciences, 4(3.4), pp. 373–376. doi: 10.22271/ortho.2018.v4.i3g.64.
Tamaoki, M. J. S. et al. (2017) 'Fractures : Figure-of-Eight Harness Versus Anterior', pp. 1159–1165.
Zhang, Y., Zhou, F. and Sun, Y. (2015) 'Assessment of health-related quality of life using the SF-36 in Chinese cervical spondylotic myelopathy patients after surgery and its consistency with neurological function assessment: A cohort study', Health and Quality of Life Outcomes, 13(1), pp. 1–7. doi: 10.1186/s12955-015-0237-1.
Authors
Qanun Medika by FK UM Surabaya is liscence under Lisensi Creative Commons Atribusi 4.0 Internasional.