RESULTS OF TREATMENT OF CLOSED MIDDLE THIRD CLAVICLE FRACTURE BY LOCKING PLATE AT MILITARY HOSPITAL 175

Tran Quoc Doanh1, Hoang Manh Linh1, Nguyen Vo Sy Trung1, Dang Hoang Anh2, Nguyen Anh Sang1,2,
1 Military Hospital 175
2 Vietnam Military Medical University

Main Article Content

Abstract

Objectives: Evaluating the results of treating closed middle third clavicle fracture by locking plate at Military Hospital 175. Subjects and methods: A prospective study from May 2022 to November 2023 at Military Hospital 175 on 38 adult patients with closed middle third clavicle fracture with separate fragments, treated by open reduction and internal fixation with locking plate method. Results: The initial wound healing rate reached 100%. On X-ray, the results of fracture reduction with complete displacement reached 36/38 patients, reaching 94.74%. Scars healed well and were soft in 32/38 patients, 84.21%. The rate of bone healing in patients reached 100%. The average Constant score is 85.35 ± 8.37 points. Postoperative rehabilitation results were 100% good and excellent, with 65.79% achieving very good results. No complications were encountered in the study. Conclusion: The method of clavicle fracture fixation using locking plates ensures stable fixation of the fracture without the need for external immobilization after surgery. This approach minimizes the impact on patients' daily activities, allows for early mobilization, and achieves optimal treatment outcomes.

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References

1. Duong Duy Thanh, Vu Truong Thinh, Ha Van Tuan (2023) Evaluate the results of combined surgery with plate screws to treatment clavicle fractures in adults at Viet Duc university hospital. Vietnam medical journal. 524 (1A):303-308.
2. Liu Y., Tang X., Ding Y., et al. (2024) A novel surgical method for treating fractures of the middle third of the clavicle. J Back Musculoskelet Rehabil. 37 (3):611-616.
3. AO Foundation (2018) Fracture and dislocation classification compendium - 2018. Journal of Orthopaedic trauma. 32 (1)
4. Yadav S. (2022) Comparative study of postoperative outcomes of clavicle midshaft fracture treated by nailing vs. plating. Cureus. 14 (3):e22862.
5. Constant C.R., Murley A. (1987) A clinical method of functional assessment of the shoulder. Clinical orthopaedics and related research. 214:160-164.
6. Boehm D. (2002) Scores. Orthopädie und Orthopädische Chirurgie: Schulter.pp. 98-104.
7. Constant C.R. (2008) A review of the Constant score: modifications and guidelines for its use. J Shoulder Elbow Surg. 17 (2):355-361.
8. Bui Duc Ngot, Hoang Manh Ninh, Tran Xuan Loc, et al. (2023) Mid-term outcome of clavicle open reduction internal fixation surgery with superior titanium locking plate at Buu Dien hospital. Journal of medical research. 167 (6):70-78.
9. Nguyen Huu Thanh, Nguyen Van Thai (2016) Evaluation of operative treatment of multi-fragment clavicle fractures with plate fixation. Vietnam medical journal. 2:95-99.
10. Kilinc B.E., Oc Y., Erturer R.E. (2020) Treatment of midshaft clavicle fracture with superior plate placement. Acta Ortop Bras. 28 (2):88-91.