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Operative Versus Non-Operative Treatment of Clavicle Fracture in PolyTrauma

2014-07-23 21:08:56 | BioPortfolio

Summary

About 90% of chest injuries in America are due to blunt forces, mostly as a result of motor vehicle collisions and falls. Severity varies from minor bruising to severe chest injuries. For several years, clavicle ("collarbone") fractures have been treated without surgery (non-operatively), even when the fracture is out of place (displaced). Over the last few years, however, treatment has changed more towards surgical fixation (operative), because of the sometimes difficult healing in clavicle fractures that are displaced. Several research studies have shown that cases in which the clavicle fracture never heals completely (non-union) are more frequent after nonoperative treatment, compared to operative fixation. In those cases, surgery is still required, only later (secondary surgery). Further, clavicle malunion, in which the fracture heals but is still out of place) has been shown to be high after nonoperative treatment. Recent published research studies have shown better function, higher patient satisfaction, earlier return to activity (use of the arm) and decreased nonunion and malunion following surgery, also called open reduction/internal fixation. Despite recent published research, there is still a lack of agreement on when surgical fixation should be performed for clavicle fractures.

Patients with chest injuries often have clavicle fractures. Chest injuries can restrict patients' ability to breathe, cough, stand, walk and leave the hospital. Although it is unusual that chest injuries can be improved with surgery, patients with clavicle fractures and chest injuries might recover faster if the clavicle fractures were repaired.

Patients are being asked to take part in the study they have sustained a clavicle fracture associated with a chest injury with or without any other injury to the abdomen, or arms or legs. The aim of this study is to determine the difference in the hospital length of stay, intensive care unit length of stay, respiratory rehabilitation (recovery of good respiratory function), functional outcome, ability to become mobile again, complications and risk of dying in trauma patients with chest injury and clavicle fracture treated operatively versus non-operatively.

Study Design

Observational Model: Case-Crossover, Time Perspective: Prospective

Conditions

Clavicle Fracture

Location

St. Anthony's Hospitals Centura Health
Denver
Colorado
United States
80204

Status

Not yet recruiting

Source

University of Kentucky

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-07-23T21:08:56-0400

Clinical Trials [458 Associated Clinical Trials listed on BioPortfolio]

Treatment of Pediatric Mid-shaft Clavicle Fractures: A Prospective, Observational Study

Clavicle fractures in children are common. Typical treatment includes nonoperative treatment with a sling. Operative treatment is usually limited to open, unstable, fractures with either e...

New Prosthesis for Comminuted Fracture of Lateral Half of Clavicle

This study to evaluate the efficacy of new prosthesis in treatment of comminuted fracture of lateral half of the clavicle in adult female.

Functional Outcome in Midshaft Clavicle Fracture, Treated With Superior Versus Anteroinferior Reconstruction Plate

The purpose of this study was to evaluate the functional outcome in patients with a midshaft clavicle fracture treated with to different techniques. the first one was placing a 3.5mm recon...

Interscalene vs. Superficial Cervical Block vs. Combination for Analgesia After Clavicle Fracture

The optimal analgesic peripheral nerve block (or combinations thereof) are undefined for clavicle fractures, the most frequent fracture in the human population. This goal of this study is ...

A Prospective Cohort of Displaced Adolescent Midshaft Clavicle Fractures

Outcomes for displaced midshaft clavicle fractures in adolescents are not defined. The current method of treatment for these fractures is non-operative management. There is recent Level 1 ...

PubMed Articles [996 Associated PubMed Articles listed on BioPortfolio]

Distal Clavicle Fractures: Open Reduction and Internal Fixation With a Hook Plate.

Displaced distal clavicle fractures pose unique challenges because of their propensity for instability. In particular, type II fracture patterns are associated with high rates of nonunion with nonoper...

Anatomically based classification of medial clavicle fractures.

Medial clavicle fractures represent less than 5% of all clavicle injuries. The purpose of this study was to evaluate reliability of a new anatomically based (AB) classification system compared to othe...

Distal Clavicle Fracture.

Distal Clavicle Fracture.

Aneurysmal bone cyst of the clavicle: a series of 13 cases.

Aneurysmal bone cyst (ABC) is a benign but locally aggressive bone tumor occurring most commonly in the first 2 decades of life. The clavicle is a rare location for tumors, and ABCs of the clavicle ha...

Medical and Biotech [MESH] Definitions

Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)

Fracture in the proximal half of the shaft of the ulna, with dislocation of the head of the radius.

The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.

Fracture of the lower end of the radius in which the lower fragment is displaced posteriorly.

The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.

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