Social Factors proved to be Greater Predictors of Outcomes after Midshaft Clavicle Fracture

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Social Factors proved to be Greater Predictors of Outcomes after Midshaft Clavicle Fracture

As per a recent retrospective comparative study, social factors proved to be more significant predictors of outcomes after midshaft clavicle fracture than other patient or injury features.

Napora JK and colleagues conducted this study to assess patients with displaced clavicle fractures treated surgically vs. nonsurgically.  A total of 138 patients with closed mid-shift clavicle fractures were included in the analysis. Both non-surgical and surgical groups had an equivalent number of patients who were matched for fracture pattern, sex, and age. Radiographs, charts and American Shoulder and Elbow Surgeons survey were used to evaluate the patients.  An American Shoulder and Elbow Surgeons score less than 60 or treatment complication was considered as the poor outcome.

A total of 28 patients were treated surgically and 23 non-surgically. Out of 138 patients, 22 females and 116 males with mean age of 37.7 years were identified. The fracture patterns 15B-1, 15B-2 and 15B-3 were exhibited by 78, 48 and 12 patients, respectively. The percentage of tobacco smokers was found to be 37%. Further, due to motion at the fracture site and severe pain, 14.5% of patients with initial non-surgical approach went through plate fixation at a mean of 25.9 weeks. 16 complications were observed among 15 patients of the surgery group, out of which 11 went for secondary treatments. 19 patients of non-surgical and 21 patients in the surgical group reported poor outcomes. Tobacco use and unemployment were significantly related to treatment complications (P=.03; P=.05, respectively). Many patients reported initial non-surgical therapy as a reasonable alternative. Both groups manifest no variation in a poor outcome or treatment complications.




The original title of article:

Results and Outcomes After Midshaft Clavicle Fracture: Matched Pair Analysis of Operative Versus Nonoperative Management


Joshua K. Napora et al.

Therapeutic, Clavicle Fractures, Collarbone, Retrospective Comparative Study, Efficacy
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