Post on 14-Apr-2018
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FUNCTIONAL OUTCOME OF PATIENT WITH
MIDSHAFT CLAVICLE FRACTURES TREATED WITH
OPERATIVE COMPARED WITH NONOPERATIVE IN
HASAN SADIKIN HOSPITAL
FROM JANUARY 2011 DECEMBER 2011
Chendra WJ, Ismiarto YD, Mulyadi D, Irawan MNSB
Department of Orthopaedic and Traumatology
Faculty of Medicine Universitas Padjadjaran
Hasan Sadikin Hospital
Bandung2012
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Introduction
Clavicle fracture: 2,6 12%.1
80% midshaft.1
Frequently: 20
50 yo.1
1. McKee MD. Clavicle Fractures. Dalam: Bucholz RW, Heckman JD, Court-Brown CM, Tornetta P. Fractures in Adults. Edisi ke-7.
Philadelphia: Lippincott Williams and Wilkins; 2010. Hlm. 1106 - 1141.
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Introduction
Controversy exists over management of midshaftclavicle fracture
Consists of: Open reduction and internal fixation
Arm sling or figure of-8
Recent studies have shown a higher prevalence ofsymptomatic malunion, nonunion, and poor functionaloutcome after non-operative treatment.
Aim of study:
to compared functional outcome between operative andnon-operative treatment
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Method
Crossectional study:
Clavicle fracture
underwent operative and nonoperative
between january 2011 December 2011
Patients medical record:
Demographyc
DASH score
tabulated & summarized
to facilitate evaluation
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Results
66 patients:
Age 18 - 55 yo
All unilateral midshaft clavicle fracture
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Results
0
10
20
30
40
50
Sex
Male
Female
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Results
0
5
10
15
20
25
30
35
40
Treatment
Operative
Nonoperative
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Results
Treated Operative Patients (40 patients):
- DASH score less than 15: 36 patients (90%)
Treated Non-operative Patients (26 patients):
- DASH score less than 15: 19 patients (73%)
Statistical study with independent-Samples T-testshowed Sig(2-tailed) 0,101
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Discussion
Clavicle fractures account for 2,6% to 12% of
all fractures and middle third fractures
account for 80%. The surgical indications for
midshaft clavicle fractures are controversial
because in the past studies described that
most midshaft clavicle fractures can be
successfully treated nonoperatively with someform of immobilization.1
1. McKee MD. Clavicle Fractures. Dalam: Bucholz RW, Heckman JD, Court-Brown CM, Tornetta P. Fractures in Adults. Edisi ke-7.
Philadelphia: Lippincott Williams and Wilkins; 2010. Hlm. 1106 - 1141.
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Discussion
Some study showed that operative treatment
results in good functional outcome.
1. McKee MD. Clavicle Fractures. Dalam: Bucholz RW, Heckman JD, Court-Brown CM, Tornetta P. Fractures in Adults. Edisi ke-7.
Philadelphia: Lippincott Williams and Wilkins; 2010. Hlm. 1106 - 1141.
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Conclusion
Operative fixation of a displaced fracture of the
clavicle midshaft results in improved functional
outcome compared with nonoperative
treatment but statistically the value were not
significant.
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