scholarly journals Miniinvasive intramedullary osteosynthesis of clavicular fractures in middle one third with shifted fragments using elastic titanic compressing rod

2021 ◽  
Vol 88 (5-6) ◽  
pp. 61-64
Author(s):  
G. I. Herzen ◽  
V. V. Kryzhevskyi ◽  
A. N. Gapon ◽  
A. S. Movchan ◽  
S. V. Dibkalyuk ◽  
...  
Keyword(s):  
Operative Treatment ◽  
Constant Score ◽  
Late Results ◽  
Joint Function ◽  
Clinical Hospital ◽  
Intramedullary Osteosynthesis

Objective. To estimate the results of operative treatment of clavicular fractures in middle one third with fragments shifted, using the closed method with application of intramedullary elastic titanic compressing rod. Materials and methods. In the Department of Orthopedics and Traumatology of Kyiv Municipal Clinical Hospital No. 6 («Medgorodok») in 38 patients ageing 18 - 67 yrs with the closed clavicular fractures in middle one third with shifted fragments the closed intramedullary osteosynthesis, using elastic titanic compressing rod, was performed. Methods of the patients examination, indication s for operative treatment, its technique, late results of the operation were studied. Results. While estimating late results in 12 mo postoperatively in accordance to Constant Score (estimation of the brachial joint function) there were (97.1 ± 3.5) points of 100 possible points noted at average. In all the patients the movements in brachial joint were free and painless, they served themselves completely while doing solemn round of industry, coming back to their ordinary profession activity and sport. Conclusion. Intramedullary osteosynthesis of clavicular fractures in middle one third, using elastic titanic compressing rod as method of operative treatment, may guarantee satisfactory late results.

scholarly journals Fiksacija tuberkuluma kod visedelnih preloma proksimalnog humerusa lecenih hemiartroplastikom

2010 ◽  
Vol 57 (1) ◽  
pp. 31-34
Author(s):  
I.D. Diklic ◽  
Z.D. Ganic ◽  
V.B. Stevanovic ◽  
A.S. Crnobaric ◽  
M. Glisic ◽  
...  
Keyword(s):  
Effective Treatment ◽  
Operative Treatment ◽  
Proximal Humerus ◽  
Constant Score ◽  
Postoperative Rehabilitation ◽  
Optimal Method ◽  
Group 2 ◽  
Group 1

Hemiarthroplasty is an effective treatment for multifragmentary fractures of the proximalh humerus. Purpose of this study was to compare 2 different methods of tuberosity dislocations,which is one of the primary reasons for successful posttraumatic arthroplasty. Between 2006 and 2008, 29 patients with multifragmentary fractures of the proximal humerus underwent hemiarthroplasty of the shoulder. Mean gae was 69y., while mean postoperative follow up was 27 months.We evaluated two different techiques of tuberosity fixation after anatomic reattachment on humeri: (A) intertuberosity suture stabilization around the prothesis, and their suture to the humeri and (B) direct intertuberosity suture and their suture to the humeri Postoperartive Constant score averaged 71 points. 3 Reason for failure of the operative treatment was primary due to the postoperative tuberosity migration It was noted in all patients of group 2 and in 2 patients of group 1. Intertuberosity stabilization using sutures arpund the prothesis and tuberosity fixation to the humeri was proofed to be optimal method, because it decreased strain and mobility of tuberosities, maximize stability of the hemiarthroplasty and facilitate postoperative rehabilitation.

scholarly journals Functional results of clavicle fractures in adults treated by open reduction and internal fixation using superior precontoured plate

2019 ◽  
Vol 6 (7) ◽  
pp. 2484
Author(s):  
M. Ahsan Wani ◽  
Mushtaq Ahmed Ganaie ◽  
Nuzhat Ul islam ◽  
Akther Rasool ◽  
Nisar Ahmed Dar
Keyword(s):  
Internal Fixation ◽  
Operative Treatment ◽  
Open Reduction ◽  
Road Traffic ◽  
Constant Score ◽  
Final Decision ◽  
Dash Score ◽  
College Hospital ◽  
Pull Out ◽  
The Mean

Background: Observe results of open reduction and internal fixation of fractures of the clavicle in adults using pre-contoured superior clavicle locking plate.Methods: This study was prospective study carried out in the Govt Medical college Hospital Baramullah Kashmir Department of Orthopaedics  from June 2014 to September 2016. A total of 25 patients with fresh fractures were treated with ORIF with a pre-contoured superior clavicle locking plate.Results: The mean age of patient was 30.08 years, males (64%),   right clavicle frequently fractured (52%) Robinson type 2B1 configuraion. (44%) sustained their injury due to a road traffic accident. The average 6 month Quick DASH score was 0.82, whereas the mean constant score was 94.8 at final follow-up. The complications were superficial wound infection in (4%), mechanical pull-out of the plate in (8%), numbness below the incision area in (12%), symptomatic hardware in (4%), and non-union in (4%).Conclusions: There has been a resurgence of interest in operative treatment for fractures that are displaced, comminuted, or that display significant shortening. Operative treatment is beneficial to only a subset of patients, in whom functional expectations and fracture characteristics have both been taken into account before taking the final decision.

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