SURGICAL TREATMENT OF CLAVICLE FRACTURES: A DESCRIPTIVE ANALYSIS OF 88 CASES.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2023-07-17 eCollection Date: 2023-01-01 DOI:10.1590/1413-785220233103e264456
Leandro Marano Rodrigues, Rafael Sampaio Oliveira, Lerud Frosi Nunes, Fernando Furtado Lázaro, Angelo Ton, Anderson Denadai
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Abstract

Clavicle fractures are one of the most common types of bone injuries in adults. Recently, the treatment protocol for these fractures has undergone changes.

Objective: To better understand the epidemiological and behavioral profile of these lesions when they require surgical treatment.

Methods: This is an analysis of a series of cases. Our sample included individuals undergoing surgical treatment for clavicle fractures.

Results: In total, 88 subjects fulfilled the predetermined criteria. Among these, 75 (85.22%) were male; automobile accidents corresponded to the largest etiological group, reaching 48% of prevalence; there was a slight predominance of the right side, totaling 45 cases (51%); most fractures were classified as Allman type I; an infection rate was observed in 1.13% of the cases; and the development of pseudarthrosis was identified in 2.27% of the patients.

Conclusion: The incidence of clavicle fracture is higher in young men, mainly caused by car accidents, being mostly located in the middle third. No statistical significance was found between the synthesis material data and the postoperative complication rate, revealing the absence of risk superiority between the different types of surgical approaches used. Level of Evidence IV, Case Series.

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锁骨骨折的手术治疗:88例病例的描述性分析。
锁骨骨折是成人最常见的骨伤类型之一。最近,这些骨折的治疗方案发生了变化:目的:更好地了解这些病变需要手术治疗时的流行病学和行为特征:这是对一系列病例的分析。我们的样本包括接受手术治疗的锁骨骨折患者:共有 88 名受试者符合预定标准。结果:共有 88 名受试者符合预定标准,其中 75 人(85.22%)为男性;车祸是最大的病因群体,发病率高达 48%;右侧骨折略占多数,共有 45 例(51%);大多数骨折被归类为 Allman I 型;1.13% 的病例出现感染;2.27% 的患者出现假关节:结论:锁骨骨折在年轻男性中发病率较高,主要由车祸引起,骨折部位多位于中1/3。综合材料数据与术后并发症发生率之间没有统计学意义,这表明不同类型的手术方法之间没有风险优劣之分。证据等级 IV,病例系列。
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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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