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Functional Outcome in Midshaft Clavicle Fracture, Treated With Superior Versus Anteroinferior Reconstruction Plate

Not Applicable
Completed
Conditions
Closed Fracture of Shaft of Clavicle
Interventions
Procedure: Open Reduction Internal Fixation superior plate
Procedure: Open Reduction Internal Fixation anteroinferior plate
Registration Number
NCT03533634
Lead Sponsor
UMAE Hospital de Traumatologia y Ortopedia de Puebla
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
28
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
superior groupOpen Reduction Internal Fixation superior platethis group with midshaft clavicle fracture were treated with superior reconstruction plate
anteroinferior groupOpen Reduction Internal Fixation anteroinferior platethis group with midshaft clavicle fracture were treated with anteroinferior reconstruction plate
Primary Outcome Measures
NameTimeMethod
Disabilities of Arm Shoulder and Hand score (DASH)365 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 Outcome Measures
NameTimeMethod
Visual Analogue Scale score (VAS)365 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

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