The present paper reviews the available literature and current. According to different fracture types, different internal fixation methods and treatment methods can be selected, and satisfactory surgical results can be achieved. Clavicle fractures are common fractures and the optimal treatment strategy remains debatable. Proximal clavicular fracture is a type of fracture with low incidence. According to the Rockwood functional score, the total score was (13.50☑.86), pain (2.57☐.50), range of motion (2.78☐.41), muscle strength (2.93☐.28), restricted daily activity (2.85☐.35), subjective results (2.63☐.61) the results were excellent in 20 cases, good in 3 cases, fair in 1 case. The imaging healing time was 3 to 6 months. Radiographs confirm the diagnosis and aid in further evaluation and treatment. No important nerves, blood vessels, or organs were damaged. A fall onto the lateral shoulder most frequently causes a clavicle fracture. Results The operation time was 30 to 65 min, and the blood loss was 15 to 40 ml. Three patients had internal fixation failure after operation, and the internal fixation device was removed. There were no patients with infection or loss of reduction after the operation. The different internal fixation methods were selected for internal fixation treatment according to different fracture types.The operation time, blood loss, preoperative and postoperative displacement difference, fracture healing time and Rockwood scoring system were recorded.Īll patients were followed up for 12 to 24 months. Treatment is immobilization or surgery, depending on the displacement and stability of the distal clavicle, as. Diagnosis is confirmed with standard shoulder radiographs and a 15 cephalic tilt view (zanca view). According to the Edinburgh classification, 14 cases were type 1B1 fractures and 10 cases were type 1B2 fractures. Distal clavicle fractures are traumatic injuries usually caused by direct trauma to the shoulder from a fall in adults. The present paper reviews the available literature and current concepts in the management of displaced and/or shortened midshaft clavicle fractures. Orthobullets Team Trauma - Gustilo Classification Listen Now 10:35 min. Clavicle fractures are common fractures and the optimal treatment strategy remains debatable. Antibiotics based on Gustilo Classification. Among them, 20 cases were fresh fractures and 4 cases were old fractures. Exposed fracture with arterial damage that requires repair. Total of 24 patients with displaced proximal clavicle fractures were treated from January 2017 to December 2020 including 16 males and 8 females, aged 28 to 66 years old. To summarize the surgical treatment of different proximal clavicle fractures, and discuss the classification of proximal clavicle fractures.
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