Evaluation of Complications in Clavicle Fractures Following Open Reduction and Internal Fixation
Journal Title: Majallah-i jarrāḥī-i ustukhvān va mafāṣil-i Īrān - Year 2017, Vol 15, Issue 2
Abstract
Background & Objective: Open reduction and internal fixation of clavicle fractures are associated with various complications. The present study aimed to evaluate the prevalence of the complications caused by internal fixation, including infections, dissatisfaction with the surgical site, and nonunion and malunion in clavicle fractures. Materials and Methods: This cross-sectional study was conducted on 52 paents with clavicle fractures undergoing open reduction and plate internal fixation. Constant shoulder score (CSS) was used to determine the range of motion, and union was detected based on shoulder strength, shoulder pain, and radiography. Results: In total, 12 females and 40 males were enrolled in the study. Clavicle hook-plates were used in one-third of the paents, and mean CSS was 84±2 (95% CI: 83-84). Most complaints were due to poor scar cosmesis (96%), followed by skin numbness (80%) and pain in the surgical site (73.1%). In addion, the rate of infections was remarkably low. Conclusion: According to the results, the most common complications associated with internal fixation were moderate pain, poor cosmesis, and skin numbness in the surgical site, which were minor issues in the majority of the patients.
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