Functional outcomes of operative fixation of clavicle fractures at a tertiary hospital in Malaysia

J. Johari, Mohd Yazid Bajuri, A. R. Ahmad, F. Mohamad, N. A. Mohamad

Research output: Contribution to journalArticle

Abstract

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, displace-ment, 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 fixa-tion 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 frac-ture 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 out-comes of shoulder function except in those with distal third clavicle fractures.

Original languageEnglish
Pages (from-to)55-60
Number of pages6
JournalBrunei International Medical Journal
Volume14
Issue number1
Publication statusPublished - 1 Jan 2018
Externally publishedYes

Fingerprint

Fracture Fixation
Clavicle
Malaysia
Tertiary Care Centers

Keywords

  • Clavicle
  • Fracture fixation
  • Fractures
  • Functional outcome
  • Internal

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Functional outcomes of operative fixation of clavicle fractures at a tertiary hospital in Malaysia. / Johari, J.; Bajuri, Mohd Yazid; Ahmad, A. R.; Mohamad, F.; Mohamad, N. A.

In: Brunei International Medical Journal, Vol. 14, No. 1, 01.01.2018, p. 55-60.

Research output: Contribution to journalArticle

@article{b225ebbc6b4942d3967f35fcca97bee5,
title = "Functional outcomes of operative fixation of clavicle fractures at a tertiary hospital in Malaysia",
abstract = "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, displace-ment, 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 fixa-tion 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 frac-ture 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 out-comes of shoulder function except in those with distal third clavicle fractures.",
keywords = "Clavicle, Fracture fixation, Fractures, Functional outcome, Internal",
author = "J. Johari and Bajuri, {Mohd Yazid} and Ahmad, {A. R.} and F. Mohamad and Mohamad, {N. A.}",
year = "2018",
month = "1",
day = "1",
language = "English",
volume = "14",
pages = "55--60",
journal = "Brunei International Medical Journal",
issn = "1560-5876",
publisher = "Ministry of Health and Universiti Brunei Darussalem",
number = "1",

}

TY - JOUR

T1 - Functional outcomes of operative fixation of clavicle fractures at a tertiary hospital in Malaysia

AU - Johari, J.

AU - Bajuri, Mohd Yazid

AU - Ahmad, A. R.

AU - Mohamad, F.

AU - Mohamad, N. A.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - 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, displace-ment, 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 fixa-tion 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 frac-ture 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 out-comes of shoulder function except in those with distal third clavicle fractures.

AB - 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, displace-ment, 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 fixa-tion 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 frac-ture 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 out-comes of shoulder function except in those with distal third clavicle fractures.

KW - Clavicle

KW - Fracture fixation

KW - Fractures

KW - Functional outcome

KW - Internal

UR - http://www.scopus.com/inward/record.url?scp=85047182039&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85047182039&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:85047182039

VL - 14

SP - 55

EP - 60

JO - Brunei International Medical Journal

JF - Brunei International Medical Journal

SN - 1560-5876

IS - 1

ER -