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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(04): 490-496
DOI: 10.1055/s-0040-1714226
Artigo Original
Ombro e Cotovelo

Surgical Treatment of Comminuted Midshaft Clavicle Fracture by Minimally Invasive Technique: Description and Preliminary Results[*]

Article in several languages: português | English
Adriano Fernando Mendes Junior 
1   Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Jose da Mota Neto 
1   Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Igor Gerdi Oppe 
1   Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Leandro Furtado de Simoni 
2   Hospital Maternidade Therezinha de Jesus, Juiz de Fora, MG, Brasil
,
Vincenzo Giordano 
3   Hospital Municipal Miguel Couto, Rio de Janeiro, RJ, Brasil
,
Pedro José Labronici 
4   Universidade Federal Fluminense, Niterói, RJ, Brasil
› Author Affiliations
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Abstract

Objective The present paper aimed to evaluate functional and radiographic outcomes from a group of patients with comminuted midshaft clavicle fracture who were surgically treated using a minimally invasive technique and followed-up for a minimum period of 12 months.

Methods Longitudinal, observational study with 32 consecutive patients (31 males; mean age, 41 years old) with comminuted midshaft clavicle fracture who were surgically treated using the minimally invasive osteosynthesis technique with a 3.5-mm reconstruction plate in the upper position. Patients were clinically and radiologically evaluated for a minimum follow-up period of 12 months.

Results In 30 patients (93.72%), fracture consolidation occurred in an average time of 17 weeks (range, 12 to 24 weeks). The mean follow-up time was 21 months (range, 12 to 45 months). No implant break or pseudoarthrosis were recorded. There was no complaint of paresthesia around the surgical incisions. The surgically-treated shoulder presented lower passive elevation and longer clavicle length (p < 0.05) compared with the contralateral shoulder. Functional evaluation revealed an average Disability of Arm, Shoulder and Hand (DASH) score of 1.75, which is considered satisfactory. Age > 60 years old had a negative correlation with DASH score (p <0.05).

Conclusion The minimally invasive osteosynthesis technique was satisfactory for the treatment of comminuted midshaft clavicle fracture, with a high consolidation rate and a low complication rate.

Keywords

clavicle - fractures, bone - treatment outcome - minimally invasive surgical procedures

Financial Support

There was no financial support from public, commercial, or non-profit sources.


* Study developed at Hospital Universitário da Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.




Publication History

Received: 01 November 2019

Accepted: 05 May 2020

Article published online:
24 September 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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