FUNCTIONAL OUTCOMES OF OPERATIVE FIXATION OF CLAVICLE FRACTURES AT A TERTIARY HOSPITAL IN MALAYSIA.
Johari J1, Bajuri MY1, Ahmad AR2, Mohamad F3, Mohamad NA2
1Department of Orthopaedics and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, 56000, Cheras, Kuala Lumpur, Malaysia.
2Department of Orthopaedics, Tuanku Ja’afar General Hospital, Seremban, Malaysia.
3Department of Orthopaedics, Hospital Kuala Lumpur, Kuala Lumpur , Malaysia.
Objective: This study analysed the functional outcome of clavicle fractures in adults who were treated surgically and assessed the relationship between functional outcome in terms of shoulder function with fracture patterns, fracture location, fracture comminution, displacement, shortening and fracture union. Methods: Forty-three patients with clavicle fractures, which were treated surgically at a tertiary hospital six months earlier were recruited. Clavicle fractures were repaired with open reduction and reconstruction plates or locking plates were used in fixation and stabilisation of the fractures. They were evaluated both clinically and radiologically and the Constant Score Technique was used to evaluate shoulder function. Results: The relationship between open reduction and internal fixation of the clavicle with good functional outcome of the shoulder was statistically significant. There were no correlation of functional outcomes with fracture types (comminution), fracture displacement (21mm or more), shortening (15mm or more) and fracture union (asymptomatic non-union). There was a statistically significant relationship between distal third clavicle fractures with reduced shoulder function. Conclusion: In majority of clavicle fractures, open surgical reduction and internal fixation was associated with good outcomes of shoulder function except in those with distal third clavicle fractures.
Keywords: Clavicle, fractures, Fracture fixation, internal, Functional outcome
Correspondence: Associate Professor Dr. Mohd Yazid Bajuri MD, MSOrth, Department of Orthopaedics and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Malaysia. Tel: +60391456031, Fax: +603-91456674
Brunei Int Med J. 2018;14:55-60